Key result
PFNA2 improves 6-month Harris hip scores by ~4 points over DHS in stable intertrochanteric fractures.
Why the study?
Does the proximal femoral nail A2 (PFNA2) improve functional outcomes and reduce complications compared to the dynamic hip screw (DHS) in patients with stable intertrochanteric femur fractures?
RCT (n=60)
odd and even numbers
No
Does the proximal femoral nail A2 (PFNA2) improve functional outcomes and reduce complications compared to the dynamic hip screw (DHS) in patients with stable intertrochanteric femur fractures?
In stable intertrochanteric femur fractures, PFNA2 provides better early functional outcomes, less blood loss, and shorter operative time compared to DHS.
Answers are grounded in this paper and cite their sources.
Supports PFNA2 over DHS to optimize early functional recovery in stable intertrochanteric fractures; extends RCT evidence on implant selection.
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Rathva et al. (2018) conducted an RCT in stable intertrochanteric fracture femur (n=60). Proximal femoral nail A2 (PFNA2) vs. Dynamic hip screw (DHS) was evaluated on Harris hip score at 6 months (p=<0.001). Proximal femoral nail A2 (PFNA2) significantly improved Harris hip scores at 6 months (92 vs 88.30, p<0.001) compared to dynamic hip screw (DHS) in patients with stable intertrochanteric fractures.
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