Key result
Proximal femoral nailing and proximal femoral locking plate resulted in similar functional outcomes based on Harris Hip scores (91.06 vs 91.17, p>0.05) at 6 months in elderly patients with intertrochanteric femur fractures.
Why the study?
To compare the functional outcome of PFN and PFLP for the treatment of unstable four part intertrochanteric femur fracture.
Does proximal femoral nailing improve functional outcomes compared to proximal femoral locking plate in elderly patients with intertrochanteric femur fracture?
RCT (n=281)
Alternating assignment
No
Does proximal femoral nailing improve functional outcomes compared to proximal femoral locking plate in elderly patients with intertrochanteric femur fracture?
Absolute Event Rate: 91.06% vs 91.17%
p-value: p=>0.05
Proximal femoral nailing offers advantages in terms of reduced surgical time, blood loss, and healing time compared to locking plates for elderly intertrochanteric femur fractures, despite similar functional outcomes.
PFNA offers shorter surgery, less blood loss, and faster healing than PFLP in unstable intertrochanteric fractures; extends RCT evidence favoring intramedullary fixation.
Objective: To compare the functional outcome of PFN and PFLP for the treatment of unstable four part intertrochanteric femur fracture. Study Design: Randomized Controlled Trial study. Setting: Orthopedics Department, Dow International Medical College, Karachi. Period: February 2019 to January 2020. Material & Methods: 281 patients were included and assigned to each group PFNA and PFLP alternatively. Both groups were compared for functional evaluation by Harris hip score. Result: Duration of surgery, perioperative hemoglobin loss, and duration of fracture healing were significantly lower in PFNA group as compared to PFLP, P<0.05. But Harris Hip score was significantly higher in PFNA group as compare to PFLP P>0.05. Conclusion: PFN has better functional outcome. This makes it a better method of fixation as compared to PFLP in elderly intertrochanteric femur fracture.
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Karim et al. (2021) conducted an RCT in Unstable intertrochanteric femur fracture (n=281). Proximal femoral nailing (PFNA) vs. Proximal femoral locking plate (PFLP) was evaluated on Harris hip score at 6 months (p=>0.05). Proximal femoral nailing and proximal femoral locking plate resulted in similar functional outcomes based on Harris Hip scores (91.06 vs 91.17, p>0.05) at 6 months in elderly patients with intertrochanteric femur fractures.
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