Key result
Proximal Femoral Nail (PFN) resulted in better functional outcomes, fracture union, and fewer complications compared to 95° Dynamic Condylar Screw for subtrochanteric femur fractures.
Why the study?
The study was conducted to compare outcomes between the Proximal Femoral Nail and 95° Dynamic Condylar Screw in subtrochanteric femur fractures, testing whether PFN outcomes were comparable to 95° DCS.
Does Proximal Femoral Nail improve functional outcomes compared to 95° Dynamic Condylar Screw in patients with subtrochanteric femur fracture?
Cohort (n=60)
No
Does Proximal Femoral Nail improve functional outcomes compared to 95° Dynamic Condylar Screw in patients with subtrochanteric femur fracture?
Proximal Femoral Nail provides better functional outcomes and fewer complications than 95° Dynamic Condylar Screw for subtrochanteric femur fractures.
Small comparative study may support similar outcomes for PFN versus DCS; hypothesis-generating and requires larger randomized confirmation.
Objective: Study was done to compare results between the Proximal Femoral Nail (PFN) and 95° Dynamic Condylar Screw (DCS) in Subtrochanteric femur fracture. Hypothesis was made that outcome of PFN technique is comparable to 95° DCS. Materials and Methods: 60 patients were taken in study out of which PFN technique performed on 30 patients and on remaining 30 patients 95° DCS technique was used in a tertiary care Centre. Both technique were compared on basis of time of injury to surgery, operation time, blood loss, hospital stay, blood transfusion, implant related complication, healing time, Harris Hip score and union time. Results: There was remarkable difference in Harris Hip score, fracture union, mean operative time, blood loss, wound healing. Complications such as pressure sore, pulmonary embolism etc. were found to be higher in 95° DCS group as compared to PFN group. Conclusion: PFN is found to better internal fixation device in treatment of subtrochanteric femur fracture.
No takes yet. Share an insight, caveat, or question.
Fuse et al. (2020) conducted a cohort in Subtrochanteric femur fracture (n=60). Proximal Femoral Nail (PFN) vs. 95° Dynamic Condylar Screw (DCS) was evaluated on Functional outcome including Harris Hip score, fracture union, operative time, blood loss, and wound healing. Proximal Femoral Nail (PFN) resulted in better functional outcomes, fracture union, and fewer complications compared to 95° Dynamic Condylar Screw for subtrochanteric femur fractures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: