A Prospective Comparative Study of outcome of Management of unstable Intertrochanteric Fractures of Femur with Dynamic Hip Screw (DHS) and Proximal Femoral Nail Antirotation (PFNA)

Introduction: Unstable intertrochanteric fracture is common fracture.Dynamic Hip Screw (DHS) is standard treatment method.Now newer methods such as Proximal Femoral Nailing Antirotation (PFNA) and other Proximal Femoral Nails having advantage of central device came.Present study was carried out to determine outcome of unstable intertrochanteric fractures with dynamic hip screw (DHS) and proximal femoral nailing antirotation (PFNA).Material and Methods: This comparative study was carried out on patients admitted in SMS Medical College and attached Hospitals Jaipur between June 2016 to July 2017.Total 40 patients having unstable intertrochanteric fractures were allocated randomly in two treatment groups.20 patients were treated by DHS and 20 patients were treated by PFNA.We looked for length of incision, duration of surgery, blood loss, fluoroscopy timing, union time, any complications and functional outcome.Result: The smaller incision, relatively less blood loss, shorter operative times, less limb shortening and a better overall functional outcome with the PFNA indicate that the PFNA has advantage over the DHS.There was no statistically difference between union time of fractures in both groups.Conclusion: PFNA has advantage over the DHS in fixation of unstable intertochanteric fractures in terms of smaller incision, relatively less blood loss, shorter operative time, less limb shortening and a better overall functional outcome.