Key result
Dynamic hip screw (DHS) was associated with significantly better Harris Hip Scores (p<0.05) compared to proximal femoral nail, with no significant differences in healing time or mortality.
Why the study?
Does proximal femoral nail compared to dynamic hip screw improve outcomes in patients with intertrochanteric hip fractures?
Population
131 patients who had an operation due to intertrochanteric hip fractures
Comparison
Proximal femoral nail (PFN) method vs Dynamic hip screw (DHS) method
Design
Cohort
Follow-up
average 25.23 (1-66) months
Authors
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May favor DHS for functional recovery in intertrochanteric fractures; leaves open optimal implant selection pending randomized trials.
Cohort (n=131)
Does proximal femoral nail compared to dynamic hip screw improve outcomes in patients with intertrochanteric hip fractures?
p-value: p=<0.05
While dynamic hip screw showed better reduction success and functional scores, there was no difference in mortality or healing time compared to proximal femoral nail for intertrochanteric fractures.
Öçalan et al. (2018) conducted a cohort in Intertrochanteric hip fractures (n=131). Proximal femoral nail (PFN) vs. Dynamic hip screw (DHS) was evaluated on Reduction success and Harris Hip Score (p=<0.05). Dynamic hip screw (DHS) was associated with significantly better Harris Hip Scores (p<0.05) compared to proximal femoral nail, with no significant differences in healing time or mortality.
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