Outcome of proximal femur fracture treated with long proximal femoral nail and dynamic hip screw
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Proximal femur fractures [PFF] are most common among all fractures around hip. Operative treatment and early mobilization is ideal to decrease morbidity and mortality. Aim of this study is to evaluate and assess functional and radiological outcomes of Long Proximal Femoral Nail [PFN] and Dynamic Hip Screw [DHS]used for fixation of PFF. Material and Method: This prospective analytic study was conducted in the department of orthopaedic, SBKSMIRC, during the year 2014 to 2016. Total 40 cases were selected by inclusion and exclusion criteria. Twenty cases were treated with Long PFN and other 20 with DHS. According to Evan’s classification, 57.5% Fracture were stable type, 32.5% fracture was unstable type and 10% fracture was subtrochanteric or reverse oblique type. All patients were followed-up to48th week postoperatively. Observation and Result: In our series, overall clinical & radiological outcome among each treatment group was 85% satisfactory. Infection rate in DHS group was 15% while in PFN group was 5%. By 6th postoperative week, 90% patients could bear partial weight in PFN group while in DHS group only 70% patients were able to do same. Full weight bearing in PFN group was between 12th - 18th postoperative weeks while in DHS group it was between 12th – 24th postoperative weeks. Conclusion: In this study, it was concluded that there is no major difference in functional and radiological outcome on long term follow up in both the treatment group.
Authors and Affiliations
Dr. Arvind Kumar, Kumar Kumar, Dr. Aditya Agrawal, Dr. Malkesh Sah, Dr. Anirudh Bansal, Dr. Sarvang Desai
Keywords
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- EP ID EP499873
- DOI 10.22271/ortho.2017.v3.i3i.95
- Views 87
- Downloads 0
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