Management of intertrochanteric fractures by dynamic hip screw VS proximal femoral nail
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 1
Abstract
Introduction Inter trochanteric fractures are more common in the age group of 20 years to 60 years due to high velocity road traffic accidents Whereas inter trochanteric fractures may also be seen in elderly people due to mild to moderate severity of trauma in addition to high velocity trauma The management of stable intertrochanteric fractures in young and old individuals either by Dynamic Hip Screw DHS or by Proximal Femoral Nail PFN and management of unstable IT fractures by PFN in both the age groups young and oldMaterials and Methods The study is conducted in the department of orthopaedics at Shadan Institute of Medical Sciences SIMS A total no of 43 patients are included in the study out of which 20 are stable fractures remaining are unstable fractures The mean age is 34 years range 2060 yrs The mean follow up period is 34 months 1236 monthsResults Out of 20 patients with stable fractures treated by DHS 15 pts are excellent outcome 3pts good 2 pts fair poor result is nil Out of 23 patients with unstable IT fractures treated by PFN 18 pts are excellent 3 pts good 1 pt fair amp 1 pt with poor resultConclusion All IT fractures which are stable in young and old patients can be treated either by DHS or PFN with satisfactory outcome and all unstable fractures in young and elderly people should be treated by PFN Irrespective of type of fracture fixed by PFN has got the advantage of early mobilisation and weight bearingKeywords Proximal Femoral Nail Dynamic Hip Screw Intertrochanteric fractures Osteoporosis Derotation screw
Authors and Affiliations
N Brahma Chary, Bachu Srinivas, Ajay Kumar Pandey, Narayana Prasad
Keywords
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- EP ID EP476572
- DOI 10.18231/2395-1362.2018.0002
- Views 100
- Downloads 0
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