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Comparative analysis of the functional outcome in intertrochanteric fractures between dynamic hip screw and proximal femoral nailing - A prospective study

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Original Article

Author Details : R Sahaya Jose*, K Visnu, K Vivek, R Manikandan

Volume : 6, Issue : 3, Year : 2020

Article Page : 228-234

https://doi.org/10.18231/j.ijos.2020.043

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Abstract

Background and Objectives: The aim of this study is to assess the functional outcome of dynamic hip
screw and Proximal Femoral Nailing in intertrochanteric fractures using Harris hip score.
Materials and Methods: In our prospective study, we compare the functional outcome in intertrochanteric
fractures between dynamic hip screw and proximal femoral nailing. 70 patients with Intertrochanteric
fracture femur were included in this study. 35 patients were treated with DHS and 35 patients with PFN,
respectively. In both the groups, patients were evaluated for postoperative functional outcome by using
Harris hip score. The Data was analyzed by SPSS 16.00 version. Unpaired t test applied to find the statistical
significance between the groups. P value less than 0.05 is considered statistically significant.
Results: Our results show dynamic hip screw has 14.29% of excellent results, whereas proximal femoral
nailing has 40% excellent results. Among 70 patients with intertrochanteric fractures, patients developed
less complication in PFN group (20%) than DHS group (40%). PFN had shown excellent Harris hip score
in all type of intertrochanteric fractures than DHS group.
Conclusion: In this present study we assessed the functional outcome of dynamic hip screw and Proximal
Femoral Nailing in intertrochanteric fractures using Harris hip score. In view of negligible complications
and superior functional outcome, we suggest that Proximal Femoral Nailing is asuitable device for both
stable and unstable intertrochanteric fractures than dynamic hip screw.
 

Keywords: Dynamic hip screw, Intertrochanteric fracture, Proximal femoral nailing, Harris Hip Score, Boyd and Griffin’s classification.

How to cite : Jose R S , Visnu K , Vivek K , Manikandan R , Comparative analysis of the functional outcome in intertrochanteric fractures between dynamic hip screw and proximal femoral nailing - A prospective study. Indian J Orthop Surg 2020;6(3):228-234

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