Assessment of Efficacy of Dynamic Hip Screw and Proximal Femoral Nail in the Treatment of Intertrochanteric Fracture of Femur: A Comparative Study
Journal Title: Journal of Orthopaedic Education - Year 2019, Vol 5, Issue 1
Abstract
Background: Dynamic hip screw has been regarded as the average implants in the management of fractures of trochanter. Even with various studies that indicate the advantages of proximal femoral nail, they were still associated with failures at technical level. The aim of the present study was to evaluate the Effectiveness of Dynamic Hip Screw and Proximal Femoral Nail in the management of Inter-Trochanteric Femur fracture. Materials and Methods: Patients were arbitrarily classified into two groups. Group I patients were managed with dynamic hip screws and Group II subjects were managed with proximal femoral nails. A total of 50 patients were enrolled in this study.Any post-operative complications occurring during the stay at hospital was managed before discharge. All the subjects were made to follow up for four months. Student test and chi square test were used for statistical analysis. Probability value of less than 0.05 was considered as significant. Results: The mean intraoperative time in Group I was 103.6±37.64 minutes and in group II was 93.8±23.5. There was no significant difference between the two groups. The mean blood loss in Group I and Group II was 485.3±176 ml and 275±141.0 ml respectively. There were 5 cases of bed sore in Group I and no case of bed sore in Group II because of early mobilization. Conclusion: When dynamic hip screw was compared with proximal femoral nails, the study found no characteristic difference in the groups.
Authors and Affiliations
Yusuf Ali Deoda
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