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
Related Articles
- EP ID EP499873
- DOI 10.22271/ortho.2017.v3.i3i.95
- Views 106
- Downloads 0
Effect of calcitonin in the outcome of distal radial fractures in elderly patients
Background: Distal radial fractures are common and produce significant morbidity in elderly osteoporotic individuals. Calcitonin prevents bone resorption in osteoporotic individuals and hence can reduce morbidity in the...
Analysis of Bristow-Later jet procedure in the treatment of recurrent traumatic anterior dislocation of shoulder
The shoulder by virtue of its anatomy and biomechanics is one of the most unstable and frequently dislocated joints in the body, accounting for nearly 50% of all dislocations. Since the beginning of century more than 150...
Results of uncemented total hip replacement
Background: Indian surgeons annually perform more than 150,000 total hip replacements (THRs), 90% of which are primary procedures. Improved surgical technique and instrumentation have expanded the clinical indications fo...
Prevalence of stress urinary incontinence amongst women attending gynaecology OPD at an Urban Women’s Hospital
Background: Urinary incontinence (UI) is one of the most common diseases amongst women. The different types of UI can be stress urinary incontinence (SUI), urge incontinence (UI) or a combination of the two. The other ty...
Indications and postoperative complications of tibial Illizarov’s technique in a tertiary care center, Saudi Arabia
Background: Circular external fixation including Ilizarov method is a well-established technique often practiced in orthopedic surgery. The goal of this procedures is to lengthen extremity bones, reconstruct severely inj...