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June 23, 2017International Journal of Research in OrthopaedicsOpen Access

A comparative study of proximal femoral fracture fixation with proximal femoral nail and dynamic hip screw and plating

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Key result

Proximal femoral nail fixation resulted in significantly better overall functional outcomes compared to dynamic hip screw fixation in patients with intertrochanteric femur fractures (p=0.037).

Why the study?

Does proximal femoral nail improve functional outcomes compared to dynamic hip screw in adults with intertrochanteric femur fractures?

Population

30 adult patients with intertrochanteric fractures of the femur, mean age 72.23 years, 60% female, admitted…

Comparison

Proximal femoral nail intramedullary device vs Dynamic hip screw extramedullary device

Design

Cohort

Follow-up

6 months

Authors

DSDinesh SridharHVH. D. VeerannaHMH. Madhusudan

Discussion

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Overview

May inform surgical timing decisions in elderly intertrochanteric fracture patients; leaves open need for randomized trials on outcomes.

Study Design

Type

Cohort (n=30)

Multicenter

No

Structured PICO

Does proximal femoral nail improve functional outcomes compared to dynamic hip screw in adults with intertrochanteric femur fractures?

P
Population
30 adult patients with intertrochanteric femur fractures treated with either proximal femoral nail or dynamic hip screw, followed for 6 months.
I
Intervention
Proximal femoral nail (PFN) intramedullary device (n=15)
C
Comparator
Dynamic hip screw (DHS) extramedullary device (n=15)
O
Outcome
Functional outcome and restoration of walking abilitypatient reported

Main Result

p-value: p=0.037

Proximal femoral nail provides significantly better functional outcomes, shorter operative time, and smaller incisions compared to dynamic hip screw in intertrochanteric fractures, particularly in unstable fractures.

Cite This Study

Sridhar et al. (2017) conducted a cohort in Intertrochanteric fractures of femur (n=30). Proximal femoral nail (PFN) vs. Dynamic hip screw (DHS) was evaluated on Overall functional outcome (p=0.037). Proximal femoral nail fixation resulted in significantly better overall functional outcomes compared to dynamic hip screw fixation in patients with intertrochanteric femur fractures (p=0.037).

synapsesocial.com/papers/6aa0ae7071044162547d39cdhttps://doi.org/10.18203/issn.2455-4510.intjresorthop20172889
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