Key result
Treatment with proximal femoral nail anti-rotation (PFNA2) resulted in significantly better functional outcomes at 6 months compared to dynamic hip screw fixation (mean Harris hip score 81.06 vs 71.48, p<0.01) in patients with intertrochanteric fractures.
Why the study?
Does proximal femoral nailing (PFNA2) improve functional outcome compared to dynamic hip screw (DHS) fixation in patients with intertrochanteric fractures?
Population
96 patients with intertrochanteric fractures
Comparison
Proximal femoral nailing (PFNA2) vs Dynamic hip screw (DHS) fixation
Design
RCT, randomly divided into two groups
Follow-up
6 months
Authors
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Supports PFNA2 preference over DHS for intertrochanteric fractures; extends Level 2 evidence for intramedullary fixation.
Observational (n=96)
No
Does proximal femoral nailing (PFNA2) improve functional outcome compared to dynamic hip screw (DHS) fixation in patients with intertrochanteric fractures?
Absolute Event Rate: 81.06% vs 71.48%
p-value: p=<0.01
PFNA2 provides better functional outcomes and faster radiological union compared to DHS in patients with intertrochanteric fractures, particularly in unstable fractures.
Chandy et al. (2020) conducted an observational in Intertrochanteric fractures (n=96). Proximal femoral nail anti-rotation (PFNA2) vs. Dynamic hip screw (DHS) was evaluated on Functional outcome assessed by Harris hip score (HHS) at 6 months (p=<0.01). Treatment with proximal femoral nail anti-rotation (PFNA2) resulted in significantly better functional outcomes at 6 months compared to dynamic hip screw fixation (mean Harris hip score 81.06 vs 71.48, p<0.01) in patients with intertrochanteric fractures.
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