PFN: A definite advantage over the DHS: A comparative Meta-Analysis
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Dynamic Hip Screw fixation is currently considered as a standard treatment for pre-trochanteric fractures; However, due to the long-term hospitalization and other complications, researchers have proposed intramedullary nailing as the alternative surgical treatment. The aim of this study was to compare and examine the consequences of using the intramedullary nailing method versus Dynamic Hip Screw, in terms of functional outcome and duration of the surgery. Methods: In this study 60 patients with Intertrochanteric fractures, that were surgically managed in Father Muller Medical College and Hospital, Kankanady, Mangalore had been selected for the year 2014-2016. After reduction, fixation surgery with PFN nail (30 patients) and Dynamic Hip Screw (30 patients) had been performed. All patients were screened during surgery and six months after surgery. Results: In certain parameters like functional outcome, duration of surgery and bleeding there were significant differences between the two groups. In six months follow up period 2 patients from the pfn nail and 8 patients from the DHS group had non-union. Conclusion: Recorded information of this study, during surgery and after the follow up period showed a comparative advantage of intramedullary nailing method vs. DHS in terms of small incision and lesser bleeding time, shorter duration of the surgery and significantly a better functional outcome. In addition, with intertrochanteric fractures the PFN has a definite advantage over the DHS in terms of less limb length shortening, earlier restoration of pre-injury walking ability and a better overall functional outcome. Based on these facts, the researchers recommend intramedullary nailing as the first option in treating patients with intertrochanteric fractures.
Authors and Affiliations
Dr. Vivian Roshan D' Almeida
Keywords
Related Articles
- EP ID EP496888
- DOI 10.22271/ortho.2017.v3.i3b.18
- Views 108
- Downloads 0
Critical analysis of prognostic factors in fracture dislocation of hip
Background: Fracture dislocation of the hip is an absolute orthopaedic emergency which is increasing day by day. There are various factors determining the functional outcome in these patients. The aim of the study is to...
Functional and radiological outcome in tibial condylar fracture with posteromedial fragment fixed with buttress plate
Background: The posteromedial fragment of tibial plateau fracture remains unrecognized for a long time, leading to inadequate fixation with conventional methods and resulting in early varus collapse. So our study is to o...
Clinical and microbiological profile of post-traumatic osteomyelitis in tertiary hospital in Yaoundé –Cameroon
Background: Post-traumatic osteomyelitis is bone infection secondary to a trauma (open fracture or bone surgery). It is a painful and frustrating disease characterised by a high rates of therapeutic failures and a costly...
Cemented modular bipolar hemiarthroplasty of hip in treatment of unstable intertrochanteric fractures in elderly patients
Aim: The aim of this study is to find out this treatment option can lead to the best clinical and functional outcomes. Patients and Methods: Twenty patients admitted to Hospital between Jan 2013 and Dec 2015 with a diagn...
A case series studying the effect of low level laser therapy in osteoarthritis knee in elderly population of northeastern India
Background: Osteoarthritis knee affects a large portion of the population and it is the leading cause of disability worldwide. The increase in life expectancy further added to the burden of the disease. Joint replacement...