Comparision of functional outcome in elderly patients with inter trochanteric fracture: Dynamic hip screw vs proximal femoral nail

Abstract

Introduction: The conservative approach has high complication rate. The common problems of prolonged immobilization, decubitus ulcers, U.T.I, joint contractures, pneumonia, and thrombo-embolism contribute to the high mortality rate. The increased incidence of varus deformity and shortening results in poor function. Methodology: This was a retrospective study carried out in department of orthopaedics, MIMS, mandya. The material for the present study was obtained from the patients visiting for follow-up in out-patient department with the diagnosis of intertrochanteric fracture femur who had undergone operative treatment between 2014 and 2015 ( 6 months elucidated after surgery at this visit)were de-identified and analysed. Results: Comparision of clinical, radiological and functional outcomes between group DHS and group PFN were presented in the Table-2 and Table-3. No patients had wound problems, union problems and screw out in both the groups. In the group DHS, 6 patient had shortening, 5 patients had restricted range of motion and collapse radiologically in 6 patients. In the group PFN, 2 patient had shortening, 2 patients had restricted range of motion and collapse radiologically in 2 patients. Conclusion: PFN group had statistically significant improvement with respect to harris hip scoring and PCS, MCS of SF-12 health survey.