Comparative Study of Helical Blade PFN and Double Hip Screw PFN for Intertrochanteric Fracture Fixation
Journal Title: Journal of Chalmeda AnandRao Institute of Medical Sciences - Year 2017, Vol 13, Issue 1
Abstract
Background and Objectives: Hip fractures are becoming more prevalent due to increased lifespan and osteoporosis. Proximal femoral nailing is the preferred method of treating unstable intertrochanteric fractures. There are two types of constructs in proximal femoral nailing; one is a double sliding screw and the other is single antirotation screw or a single helical blade for proximal fragment fixation. This study compares the single screw and double screw constructs for treating unstable intertrochanteric fractures. Patient reported outcomes and radiological union of the fractures have been used as outcomes measures. Materials and Methods: A retrospective analysis of Thirty patients treated for intertrochanteric fractures using the proximal femoral nails have been considered, 10 of them had single helical blade nailing and 20 had nailing with a double screw construct. Patients were asked to take an over the phone survey that evaluated their condition through four categories; mobility, pain, sleep and complications by an independent observer who was not involved in the patient’s care. Results and Conclusion: It was found that helical blade fixation was superior to screw fixation in the categories of mobility and complications. However, there was no significant difference between the nailing systems in pain and sleep categories. This finding indicates that although helical proximal femoral nails prove to have some benefits over the screw proximal femoral nails, further research is needed to investigate which nailing is the best treatment option.
Authors and Affiliations
Monica Chappidi, Deepthi Nandan Adla
Keywords
Related Articles
- EP ID EP512955
- DOI -
- Views 121
- Downloads 0
Breast Lump (SubPectoral Lipoma): Clinical Diagnostic Dilemma
Lipoma of the breast is rare and usually it is not diagnosed because of fatty nature of the breast. Here, we present a case of lipoma which is deep to pectoral muscle. Clinically we considered this as breast lump with cl...
A Rare Case of Primary Idiopathic Hypoparathyroidism Presented with Early Infantile Seizures
Seizures are common during childhood. Most common cause for seizures in children between 6 months to 5 years is febrile seizures, in school going children seizures are due to idiopathic epilepsy. Whereas etiology of infa...
Risk Factor Analysis in Sedentary Office Workers with Low Back Pain
Background and Objectives: Low back pain is one of the common musculoskeletaldisorders in the office workers and it is the leading cause for long term sick leave. The life time prevalence of low back pain is estimated 60...
A 10 year Retrospective Study on HIV-2 : A Neglected Cousin of HIV-1
Background: Though HIV-2 has slower rates of progression to AIDS and death, differentiating it from HIV-1, is important as choice of ART (antiretroviral therapy) is different. Aims and Objectives: To study the prevalence...
Calculi in a Female Urethral Diverticulum
Urinary stones are rarely seen in the urethra and usually encountered in men with urethra stricture (or) diverticulum. The case of a 52 years old women presented, who consulted for a weak stream associated with repeated...