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
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