Key result
Proximal femoral nail significantly reduced hospitalization (8.32 vs 10.56 days) and blood transfusion requirement (8% vs 40%) compared to dynamic hip screw, with similar functional outcomes.
Why the study?
Does Proximal Femoral Nailing improve outcomes compared to Dynamic hip screw in elderly patients with intertrochanteric femur fractures?
Population
50 elderly patients with acute, closed intertrochanteric femur fractures. Excluded pathological fractures…
Comparison
Proximal Femoral Nailing (PFN) vs Dynamic hip screw (DHS)
Design
RCT, Prospective randomised controlled trial
Follow-up
6-24 months (final outcome analyzed at 1 year)
Authors
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May shorten stays and cut transfusions with proximal femoral nail; leaves open randomized confirmation of functional equivalence.
RCT (n=50)
Randomized
No
Does Proximal Femoral Nailing improve outcomes compared to Dynamic hip screw in elderly patients with intertrochanteric femur fractures?
Absolute Event Rate: 8.32% vs 10.56%
p-value: p=0.014
PFN and DHS are equally effective for treating intertrochanteric femur fractures in elderly patients, but PFN is associated with significantly less blood loss and shorter hospital stay.
Konde et al. (2018) conducted an RCT in Intertrochanteric fractures of femur (n=50). Proximal Femoral Nail vs. Dynamic Hip Screw was evaluated on Period of hospitalization (days) (p=0.014). Proximal femoral nail significantly reduced hospitalization (8.32 vs 10.56 days) and blood transfusion requirement (8% vs 40%) compared to dynamic hip screw, with similar functional outcomes.
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