Key result
Proximal femoral nailing yields ~30% more excellent functional outcomes versus dynamic hip screws.
Why the study?
Intertrochanteric fractures account for 50% of hip fractures caused by falls, and optimal surgical management with DHS versus PFN requires assessment of functional outcomes.
Does proximal femoral nailing improve functional outcomes compared to dynamic hip screw in patients with intertrochanteric fractures?
RCT (n=40)
Random selection
No
Does proximal femoral nailing improve functional outcomes compared to dynamic hip screw in patients with intertrochanteric fractures?
Proximal femoral nailing provides better functional outcomes and fewer complications than dynamic hip screws for intertrochanteric fractures.
Answers are grounded in this paper and cite their sources.
May favor proximal femoral nailing for functional recovery; leaves open confirmation in randomized trials.
Background: An inter-trochanteric fracture is a type of hip fracture specifically, which are bony protrusions of femur where the muscles of thigh and hip attach. 50% of all hip fractures caused by falling are inter-trochanteric. Aim: The present study assessed the functional outcomes with DHS and proximal femoral nail (PFN) in inter-trochanteric management of fractures. Materials and Methods: This study was a prospective study which was performed for a period of one year. A total of 40 patients were enrolled during the study. DHS and PFN are the two different implants used for management of intertrochanteric fractures. Results: Functional outcome was better and excellent in PFN (65%) compared to that of DHS (50%). The complications were lesser in Paticipants who were treated by PFN compared to that of participants treated with DHS. Conclusions: Proximal femoral nailing method is preferable method in inter-trochanteric fractures management as it has better functional outcome and lesser complications compared to DHS method.
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Talluri V. G. Krishna (2019) conducted an RCT in Intertrochanteric fractures (n=40). Proximal femoral nail (PFN) vs. Dynamic hip screw (DHS) was evaluated on Excellent functional outcome (Harris hip score). Proximal femoral nailing resulted in an excellent functional outcome in 65% of patients compared to 50% of patients treated with a dynamic hip screw.
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