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December 31, 2021Journal of Evolution of Medical and Dental SciencesOpen Access

A Comparative Study of Dynamic Hip Screw Versus Proximal Femoral Nailing in Surgical Management of Trochanteric Fractures in a Tertiary Care Centre, Thrissur District, Kerala

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Why the study?

Dynamic hip screws yield good results but are sometimes unsuitable for unstable intertrochanteric fractures, prompting a comparison with proximal femoral nails regarding functional and radiological outcomes.

Does proximal femoral nail improve functional outcomes compared to dynamic hip screw in patients with trochanteric fractures?

Population

100 patients admitted with trochanteric fracture in Thrissur, Kerala

Comparison

Proximal femoral nail vs dynamic hip screw

Design

Prospective study

Follow-up

Minimum 6 months to longest 12 months

Authors

ADAbino D.J.KCKrishnakumar C.V.

Discussion

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Overview

May support PFN preference in unstable cases; leaves open need for RCTs to guide fixation choice.

Structured PICO

Does proximal femoral nail improve functional outcomes compared to dynamic hip screw in patients with trochanteric fractures?

P
Population
100 patients admitted with trochanteric fracture in Government medical college, Thrissur
I
Intervention
Proximal femoral nail (n=50)
C
Comparator
Dynamic hip screw (n=50)
O
Outcome
Functional and radiological outcomes assessed with Harris hip scorepatient reported

Proximal femoral nailing provides better functional and radiological outcomes than dynamic hip screw for the surgical management of trochanteric fractures.

Cite This Study

D.J. et al. (2021) studied this question.

synapsesocial.com/papers/6a75887be2440913015ffd38https://doi.org/10.14260/jemds/2021/807
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1THE TREATMENT OF TROCHANTERIC FRACTURES OF THE FEMUR1949 · 517 citations
  2. 2Patients With Femoral Neck and Intertrochanteric Fractures1996 · 123 citations
  3. 3Epidemiology of Fractures of the Proximal Femur in Rochester, Minnesota1980 · 446 citations
  4. 4Intra-Pelvic Migration of Sliding Hip Screw During Osteosynthesis of Hip Fracture: A Rare Avoidable Intraoperative Complication.2016 · 5 citations
  5. 5Biomechanical analysis of the sliding characteristics of compression hip screws.1980 · 114 citations