Functional and radiological outcome of inter-trochanteric fractures treated with minimally invasive D.H.S or proximal femoral nailing: A comparative study
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Introduction Intertrochanteric fractures are one of the commonest fractures encountered in orthopaedic practice Treatment of intertrochanteric fractures had turned from totally conservative in the pre 70s to totally surgical now Many surgical methods like Jewet nail Gamma nail and condylar plates had been tried and given up The commonest method used now are Dynamic hip screw DHS system and Proximal Femoral interlocking nail PFN systemMaterials and Methods This prospective study was conducted in Sri Venkateswaraa Medical College Pondicherry from May 2015 to May 2017 30 Thirty consecutive patients of age over 55 years with intertrochanteric fractures were studied Of these 30 patients alternate patients 15 patients were treated with minimally invasive DHS and the other 15 patients were treated with PFN They were reviewed every 2 weeks Their functional results were analysed using modified Harris hip score37Results Males predominated in our study 70 were left sided Mean time of surgery with incision for DHS group was little longer than PFN group PFN group bone weight earlier than DHS group Blood loss was more in DHS group There was no difference in mean hospital stay in both groups PFN group patients bore weight earlier in both unstable and stable fracture groups PFN group healed earlier than DHS group The DHS group bore weight much later There was only one complication in both groups Bony union occurred earlier in PFN group than DHS groupConclusion The PFN group required shorter incision and had less blood loss They were able to bear weight earlier in both stable and unstable groups whereas DHS group with unstable fractures took long time to bear weight The PFN group fractures healed earlier than DHS group At the end of six months the modified Harris hip score showed no marked difference between two groups Considering all this we conclude PFN is a better device to treat inter trochanteric fractures especially in unstable fracturesKeywords Trochanteric fracture Minimally invasive dynamic hip screw Proximal femoral nail Modified Harris hip score
Authors and Affiliations
N. Selvam, K. Karthick Anand, Amutha Ganesh
Keywords
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- EP ID EP476591
- DOI 10.18231/2395-1362.2018.0023
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