Key result
Proximal femoral nail (PFN) yielded a higher rate of excellent functional outcomes (71.66%) compared to dynamic hip screw (50%) for the surgical management of intertrochanteric fractures.
Why the study?
Although dynamic hip screw (DHS) is commonly used for intertrochanteric fractures, proximal femoral nail (PFN) offers potential advantages, prompting a comparison of both surgical techniques.
Does proximal femoral nail (PFN) improve functional outcomes and reduce surgical complications compared to dynamic hip screw (DHS) in patients with intertrochanteric fractures?
Observational (n=121)
No
Does proximal femoral nail (PFN) improve functional outcomes and reduce surgical complications compared to dynamic hip screw (DHS) in patients with intertrochanteric fractures?
Absolute Event Rate: 71.66% vs 50%
PFN is a better alternative to DHS in the management of intertrochanteric fractures, offering better functional results, less blood loss, and shorter operative time, though it is technically more demanding.
Supports DHS as standard for elderly intertrochanteric fractures; level 5 evidence leaves optimal fixation open.
Intertrochanteric fractures are common fractures seen in patients over 60yrs of age, mostly due to trivial trauma. Incidence has increased primarily due to increasing life span & more sedentary life style brought by urbanization. As conservative methods resulted in higher mortality rates and complications, Stable Internal fixation and early mobilization has been the standard method of treatment. DHS with side plate assembly is most commonly used device for fixation of intertrochanteric fractures, The latest implant for management of intertrochanteric fracture is PFN. This implant is a cephalomedullary device and has many potential advantages. In view of these conditions, this study is taken up to compare the results of DHS and PFN in the treatment of intertrochanteric fractures. Studies have shown that when compared to DHS, PFN had certain advantages. Aims and objectives: To compare surgical treatment of intertrochanteric fractures of femur with PFN and DHS with respect to fluoroscopic time, duration of surgery, post operative shortening and functional outcome.
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Reddy et al. (2020) conducted an observational in Intertrochanteric fractures of femur (n=121). Proximal femoral nail (PFN) vs. Dynamic hip screw (DHS) was evaluated on Excellent functional outcome. Proximal femoral nail (PFN) yielded a higher rate of excellent functional outcomes (71.66%) compared to dynamic hip screw (50%) for the surgical management of intertrochanteric fractures.
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