Why the study?
Dynamic hip screw was traditionally the treatment of choice for intertrochanteric fractures, but trends have shifted toward proximal femoral intramedullary nailing, warranting a comparison of their radiological and functional outcomes.
Does proximal femoral nailing improve functional and radiological outcomes compared to dynamic hip screw in patients with intertrochanteric fractures?
Population
42 patients with intertrochanteric fracture
Comparison
Dynamic hip screw vs proximal femoral intramedullary nailing
Design
Prospective randomized study
Follow-up
6 months
Authors
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PFN may be preferred over DHS for intertrochanteric fractures given superior early function; extends RCT evidence on fixation choice.
Does proximal femoral nailing improve functional and radiological outcomes compared to dynamic hip screw in patients with intertrochanteric fractures?
Proximal femoral nailing provides better early functional outcomes, less blood loss, and less limb shortening compared to dynamic hip screw in the management of intertrochanteric fractures.
Kamboj et al. (2019) studied this question.