Dynamic Hip Screw versus Proximal Femoral Nailing In Treatment of Intertrochanteric Fractures in Elderly
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Dynamic Hip Screw fixation is still considered as a standard treatment for intertrochanteric fractures; however, some researchers have proposed Proximal Femoral Nailing as the alternative surgical treatment. The aim of this study was to compare Proximal Femoral Nailing versus Dynamic Hip Screw. Methods: In this study 60 patients with Intertrochanteric fractures admitted in Prathima Institute of Medical Sciences, Karimnagar from December 2015 to November 2017were included, who underwent PFN fixation (20 patients) and DHS fixation (40 patients). All patients were screened after surgery for parameters like union, time of weight bearing, return to preinjury status, overall function result as well as for complications such as shortening, varus, external rotation Results: About some parameters like cutting length, surgery duration, bleeding there were significant diļ¬erences between two groups. In six months follow up period 2 patients from nail and 8 patients from DHS group had nonunion. Also, from the point of radiologic and clinical parameters, like anterior thigh pain, cutout, medialization of the distal fragment, collapse of the neck, walking recovery and daily activities were significant between two groups. Conclusion: We recommend Proximal Femoral Nail as first choice for Intertrochanteric femur factures due to early weight bearing, earlyunion of fracture, lesser incidence of complications, early return to work, better overall functional results.
Authors and Affiliations
Dr. Venkat Reddy Almareddi
Keywords
Related Articles
- EP ID EP475816
- DOI -
- Views 55
- Downloads 0
Assessment of CT scans findings in patients with seizures: An Imaging perspective
Abstract: Epilepsy is a chronic disease characterized by recurrent seizures that affect 2% of the population. The present study was conducted to assess the role of EEG and CT scan in patients with partial or generalized...
Relationship of Gestational Diabetes Mellitus with Hypothyroidism in Pregnancy
The objective is to study if there is a relationship between gestational diabetes mellitus with hypothyroidism in pregnancy. Between June 2014 and May 2015, serum thyrotropin (TSH) screening was performed on all women...
A Study on Autonomic Functions in Chronic Opium Abusers
Over the centuries, opium has been the most frequent substance abused in the many parts of the world. In India opium dependence is widely prevalent in certain states of India, especially Rajasthan, Punjab, Haryana, Madhy...
Evaluation of Breast Lumps in Females with Assessment of Estrogen Receptor, Progesterone Receptor and HER2/NEU Status in Patients with Breast Carcinoma
Breast lump is one of the most common surgical problems in females. Diagnosis of breast lesions is routinely performed by the triple assessment. Determination of hormone receptors and human epidermal growth factor recep...
HbA1c as screening biomarker of dyslipidemia in Type 2 Diabetes mellitus patients
Type 2 diabetes mellitus consists of an array of dysfunctions characterized by hyperglycemia and resulting from the combination of resistance to insulin action, inadequate insulin secretion, and excessive or inappropriat...