Why the study?
Does proximal femoral nail improve functional outcomes and reduce surgical time compared to dynamic hip screw in patients with intertrochanteric fractures?
Does proximal femoral nail improve functional outcomes and reduce surgical time compared to dynamic hip screw in patients with intertrochanteric fractures?
Proximal femoral nailing is a quicker, less traumatic procedure with less blood loss and better early functional outcomes compared to dynamic hip screw for intertrochanteric fractures.
Answers are grounded in this paper and cite their sources.
Increasing intertrochanteric fractures in elderly; leaves open optimal prevention and fixation strategies.
Intertrochanteric fractures are those occurring in the region extending from the extra capsular basilar neck region to the region along the lesser trochanter. Due to an increasing life span and sedentary lifestyle the incidence of these fractures is on the rise. Also the geriatric age group has a higher incidence of osteoporosis, with low energy falls from standing height accounting for approximately 90% of the community hip fractures in patients more than 50 years of age, with a higher proportion in women. In intertrochanteric fracture, two types of implants are use for fixation. Extramedullary devices, example: Dynamic Hip Screw (DHS), Intramedullary devices, example: Proximal Femoral Nail (PFN).
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Swamy et al. (2017) studied this question.
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