A Hospital Based Prospective Study to Find the Efficacy of Proximal Femoral Nailing (PFN) and Dynamic Hip Screw (DHS) Fixation in the Treatment of Intertrochanteric Fractures

Authors

  • Kailash Parihar Associate Professor, Department of Orthopaedics, Government Medical College, Pali, Rajasthan, India
  • Rajendra Didel Assistant Professor, Department of Orthopaedics, Government Medical College, Pali, Rajasthan, India

Keywords:

Harris Hip Score, Intertrochanteric Fracture, DHS, PFN, Functional Outcome.

Abstract

Background: Unstable fractures accounts for approximately 50 to 60% of all intertrochanteric fractures. Failure rates of (DHS) dynamic hip screw for unstable fracture patterns are as high as 50%. Proximal femoral nail is technically more demanding surgery and also associated with complications like implant failure, femoral shaft fracture, improper reduction, screw cut-out and non-union. With this aim of stable surgical reconstruct of intertrochanteric fracture this study was done to find the efficacy of proximal femoral nailing (PFN) and dynamic hip screw (DHS) fixation in the treatment of intertrochanteric fractures. Materials & Methods: A prospective study done on 50 patients with unstable trochanteric femur fracture admitted in department of orthopedic in Government Medical college, Pali, Rajasthan, India during one year period. All patients were regularly followed up in OPD at an interval of 10,14,18 weeks. In patients with stable inter-trochanteric fractures, either treated with PFN or DHS, partial weight bearing was started early. Unstable inter-trochanteric fracture cases treated with PFN, partial weight bearing will be started at 2-4 weeks while those treated with DHS partial weight bearing was started between 6-8 weeks depending upon reduction and stability of fracture. Full weight bearing was started in all cases only after radiological union. Results: Our study showed that mean time of full weight bearing in the DHS group and the PFN group were found to be 13.28 and 10.34 respectively. Mean Haris Hip Score among the patients of DHS group and the PFN group were found to be 81.26 and 83.92 respectively. No- Significant results were obtained while comparing the mean HHS in between the DHS group and the PFN group (P value > 0.05). Good functional outcome according to Harris hip score was occurred in maximum patients in both groups. In the DHS group, skin puckering with superficial infection was seen in 2 (8%) patients while in the PFN group Nonunion occurred in 2 (8%) patients. Conclusion: We concluded that Proximal Femoral nail gives better results in intertrochanteric fractures in terms of Amount of blood loss during surgery, Early mobilization, Duration of surgery.

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Published

2021-12-09

How to Cite

Kailash Parihar, & Rajendra Didel. (2021). A Hospital Based Prospective Study to Find the Efficacy of Proximal Femoral Nailing (PFN) and Dynamic Hip Screw (DHS) Fixation in the Treatment of Intertrochanteric Fractures. International Journal of Health and Clinical Research, 4(21), 132–135. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/3364