Comparative evaluation of clinical and radiological outcome of trochanteric fracture treated with different intra and extramedullary fixation techniques and intra and extra medullary fixaion devices
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
To compare the clinical and radiological outcome of different Intra and Extramedullary techniques and Extra and Intramedullary fixation devices. Methods Of the 75 participants in this study where we compared, three groups of MIDHS (Minimally invasive DHS) , CDHS (Conventional DHS) Extramedullary fixation and Proximal femoral nailing (Intramedullary fixation). Main outcome measurements were wound size, assessment of blood loss, blood transfusion rate, pain score, operative time and ease of surgery, analgesic consumption, union rate, time to healing, postoperative mobilization of patients, bio mechanical advantages, hospital stay after surgery and complication rate. Results: Postoperatively the MIDHS group and PFN group had significantly smaller wound size, less blood loss, lower blood transfusion rates, pain scores and rates of analgesic consumption, and higher early mobilization rates as compare to Conventional DHS group. There were no significant differences in fracture union rate, time to healing, harris hip score and complications rate between all three groups. Conclusion: MIDHS and PFN fixation of intertrochanteric fractures is effective and safe and significantly reduces blood loss, pain and rehabilitation period, without sacrificing reduction alignment, screw position, fixation stability or bone healing as compare to conventional DHS; however intramedullary implant (PROXIMAL FEMORAL NAIL) is a better implant than extramedullary implant (DYNAMIC HIP SCREW) for unstable trochantric fractures and have good biomechanical stability.
Authors and Affiliations
R S Bajoriya, shelendra Saiyam, Swami Pravin, Anand Nema
Keywords
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