Key result
Short Proximal Femoral Nail and Dynamic Hip Screw showed no significant difference in excellent functional outcomes (62.5% vs 54.5%, p=0.556) at 1 year for the treatment of intertrochanteric fractures.
Why the study?
Does Short Proximal Femoral Nail improve functional outcome compared to Dynamic Hip Screw in patients with intertrochanteric fractures?
Observational (n=48)
No
Does Short Proximal Femoral Nail improve functional outcome compared to Dynamic Hip Screw in patients with intertrochanteric fractures?
Absolute Event Rate: 62.5% vs 54.5%
p-value: p=0.556
There is no significant difference in functional outcome between PFN and DHS for intertrochanteric fractures at 1 year, though PFN is preferred for unstable fractures and DHS for stable ones.
Small prospective cohort of PFN vs DHS leaves optimal implant selection open; larger RCTs needed before practice shifts.
Background: This article is on study of evaluation of effectiveness, advantages and disadvantages of PFN and DHS in the management of intertrochanteric fractures.Materials and Methods: These is a prospective study which was carried out from February 2015 to February 2016 in government medical college Thiruvanathapuram.In this study period 48 cases of intertrochanteric fractures were studied, out of which 24 cases were operated by PFN and 24 cases were operated by DHS.The results were evaluated and compared.Results: Harris hip score was used to asses the functional outcome of hip.Calculated at 2 week, 6 week, 3 months, 6 months and 1 year follow up.By 1 year follow up 62.5% cases operated by PFN had excellent score, 33.3% patients had good and 4.2% had fair score.The cases operated by DHS 54.5% had excellent score , 33.3 % cases had good and 12.5% patients had fair score Conclusion: In our study we concluded that there is no much difference in functional outcome of intertrochanteric fractures treated by DHS and PFN in our settings during one year follow up.PFN is used mainly in unstable fracture and DHS in stable intertrochanteric fractures.Surgical exposure is minimal in PFN so minimal blood loss and wound complication.Early mobilization is better by PFN.
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Dr Manoj Kumar R (2017) conducted an observational in Intertrochanteric fractures (n=48). Short Proximal Femoral Nail (PFN) vs. Dynamic Hip Screw (DHS) was evaluated on Excellent functional outcome by modified Harris hip score at 1 year (p=0.556). Short Proximal Femoral Nail and Dynamic Hip Screw showed no significant difference in excellent functional outcomes (62.5% vs 54.5%, p=0.556) at 1 year for the treatment of intertrochanteric fractures.
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