Management of unstable inter-trochanteric fractures by Dynamic Hip screw versus Proximal Femur Nailing- A Comparative Analysis
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Background: The aim of this study was to compare the outcomes of proximal femoral nail (PFN) and dynamic hip screw (DHS) in treatment of unstable intertrochanteric fractures. Material and Methods: In our study, we included 80 unstable intertrochanteric fractures, out of which 40 were treated with PFN and 40 were treated with DHS. The surgeries were performed on traction table and were followed up at regular intervals at 2 weeks, 4 weeks, 6 months and annually thereafter. Results: The functional results were evaluated with Harris Hip Score. At most recent follow up, Patients with excellent results were 23 (46%) in group A and 20 (36%) in group B while patients with good results were 15(28%) in group A and 20(45%) in group B. Differences were observed to be statistically significant difference between two groups in view of late & early complications and time to union. Better outcomes were noted in PFN group for unstable intertrochanteric fractures. Conclusions: We concluded that PFN may be the better fixation device for most unstable intertrochanteric fractures.
Authors and Affiliations
Dr Tushar Kadam
Keywords
Related Articles
- EP ID EP526496
- DOI -
- Views 63
- Downloads 0
Radiological Evaluation of the Calcaneal Parameters in an Adult Nigerian Population
Axial relationships are the various interactions and connections among structures along an axis. The axial relationships of the calcaneus are necessary so as to evaluate certain parameters that would be useful in the dia...
Evaluation of Serum Electrolytes, Urea and Creatinine Levels in HIV – Positive Patients in Makurdi North Central Nigeria
A total of 150 subjects were used for this study. Out of these numbers 50 were HIV-infected patients on Antiretroviral therapy (ART) and 50 were not on ART. The remaining 50 were screened HIV negative individuals drawn f...
Prevalence of Prehypertension and Hypertension among Adult Patients in Kathmandu Medical College and Teaching Hospital, Duwakot, Bhaktapur
Introduction: In recent years, one of the global health burden is increased blood pressure, hypertension. It is a condition of sustained increase in blood pressure. Prehypertension is a condition of slight increase in no...
Spectrum of Presentations of Hydatid Cyst at a Teritiary Care Hospital in Non-Endemic Region – A Prospective Study
Aims & Objectives 1. To evaluate different presentations of Hydatid cyst 2. To evaluate unusual locations of Hydatid cyst. 3. To evaluate Hydatid cyst related complications Conclusions: Hydatid Cyst should be kept in min...
Morbidity Profile among Women Beedi Workers in the Urban Slum of Kurnool Town, Andhra Pradesh
Background: Rolling Beedi is an indigenous method of making smokable tobacco using tobacco leaves that provided employment for millions of Indians. Beedi rolling is mostly made by women and girls sitting at home and is r...