Dynamic Hip Screw and Proximal Femoral Nail as a Mode of Surgical Treatment in Intertrochanteric Fractures of Femur in Elderly Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Advanced fast growing technology and high velocity transport media has increased the number of injuries in the recent years. There are number of devices but there is not a single one which can be used with confidence and full reliance. Hence we did a study of 50 cases of intertrochanteric femur fractures to find better implant between DHS and PFN. Material and Methods: We conducted a prospective study of 50 cases of intertrochanteric fractures of femur presented at MIMER medical college Talegaon after due consent and ethical committee approval. 25 cases were operated with DHS and 25 cases operated with PFN under spinal with epidural or general anaesthesia in supine position on fracture table. Patients were followed up clinically and radiologically at 1 month, 3 months, 6 months and 1 year. Results: There was no significant difference between two groups of patients as regards to age, sex, duration of surgery, time taken for union and harris hip score etc but there was significant difference as regards to period of hospitalization (p=0.014) and blood transfusion (p=0.004). Conclusion: There is no significant difference between results of PFN AND DHS as far as results of surgical treatment are concerened and both are equally effective to treat intertrochanteric femur fractures however there could be advantages of PFN over DHS because of less blood loss and early rehabilitation and discharge from hospital.
Authors and Affiliations
Shivraj S. Konde, Santosh S. Borkar, Rohit Shinde, Abhijit Marathe, Prashant Kamath
Keywords
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