Key result
Proximal femoral nailing cuts blood loss ~59% and shortens operative time versus dynamic hip screw.
Why the study?
To compare Dynamic Hip Screw with Proximal Femoral Nail in unstable intertrochanteric femur fractures.
Does Proximal Femoral Nailing reduce operative time and blood loss compared to Dynamic hip screw fixation in patients with unstable intertrochanteric proximal femoral fractures?
Does Proximal Femoral Nailing reduce operative time and blood loss compared to Dynamic hip screw fixation in patients with unstable intertrochanteric proximal femoral fractures?
Proximal femoral nailing is associated with significantly less blood loss and shorter operative time compared to dynamic hip screw fixation for unstable intertrochanteric femur fractures.
Answers are grounded in this paper and cite their sources.
Favors proximal femoral nailing over dynamic hip screw for unstable intertrochanteric fractures to reduce blood loss and time; confirms RCT advantages of intramedullary fixation.
Objective: To compare Dynamic Hip Screw with Proximal Femoral Nail in unstable Inter Trochanteric femur fractures. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Orthopaedic Surgery, Combined Military Hospital, Malir Pakistan, from Dec 2020 to Aug 2021. Methodology: This study comprised patients aged 40 to 80 years with unstable inter Trochanteric proximal femoral fractures (AO Classification 31A2, 31A3). These patients were randomised into two Groups. Group-A patients underwent Dynamic hip screw fixation, and Group-B patients were subjected to Proximal Femoral Nailing. Follow-up was done at 2,6,12 weeks postoperatively. Two variables, namely operative time and blood loss, were evaluated. Result: Thirty patients were recruited in this study, with 18 patients in each Group. The average blood loss for Group-A Dynamic Hip Screw was measured to be 193.3±29.10 ml, and for Group-B Proximal Femoral Nail was 79.44±17.98 ml (p< 0.001). Group-A (DHS) scored an average operative time of 51.56±7.76 min, and Group-B Proximal Femoral Nail was 36.89±3.66 min (p<0.001). Conclusion: Proximal femoral nailing is a better choice in unstable proximal femoral fractures regarding operative time and blood loss.
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Khan et al. (2023) studied Unstable intertrochanteric proximal femoral fractures (n=36). Proximal Femoral Nail vs. Dynamic Hip Screw was evaluated on Blood loss (ml) (p=<0.001). Proximal femoral nailing significantly reduced blood loss (79.44 vs 193.3 ml) and operative time (36.89 vs 51.56 min) compared to dynamic hip screw in patients with unstable intertrochanteric fractures.
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