Key result
Proximal Femoral Nail (PFN) resulted in better Harris Hip Score and Parker Palmer mobility score compared to Dynamic Hip Screw for unstable intertrochanteric fractures in elderly patients.
Why the study?
With the increasing incidence of intertrochanteric fractures in the geriatric population and multiple treatment modalities available, the study aimed to compare the outcomes of proximal femoral nail versus dynamic hip screw.
Does Proximal Femoral Nail (PFN) improve functional outcomes compared to Dynamic Hip Screw (DHS) in elderly patients with unstable intertrochanteric fractures?
Population
150 elderly patients with unstable intertrochanteric fractures (AO type 31-A2, 31-A3)
Comparison
PFN vs DHS
Design
Prospective randomized comparative study
Authors
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PFN may offer perioperative advantages over DHS in unstable ITF; leaves open need for confirmatory RCTs before practice change.
RCT (n=150)
randomly divided
Does Proximal Femoral Nail (PFN) improve functional outcomes compared to Dynamic Hip Screw (DHS) in elderly patients with unstable intertrochanteric fractures?
PFN provides better functional outcomes than DHS for unstable intertrochanteric fractures in elderly patients.
Das et al. (2020) conducted an RCT in Unstable intertrochanteric fractures (ITF) (n=150). Proximal Femoral Nail (PFN) vs. Dynamic Hip Screw (DHS) was evaluated on Harris Hip Score (HHS) and Parker Palmer mobility score (PPMS). Proximal Femoral Nail (PFN) resulted in better Harris Hip Score and Parker Palmer mobility score compared to Dynamic Hip Screw for unstable intertrochanteric fractures in elderly patients.
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