Comparative evaluation of efficacy of PFN and PFN anti-rotation in treating patients with femur fracture

Abstract

Background: Intertrochanteric fractures are defined as fractures of proximal part of femur located between lesser and greater trochanter. We planned the present study to assess the efficacy of PFN and single PFN anti-rotation in treating patients with intertrochanteric fractures of femur. Materials & methods: The present included assessment of 20 cases of intertrochanteric fractures of skeletally mature adults, out of which, ten each were operated upon with PFN and PFN anti-rotation and were followed up for 6 months postoperatively. Surgical procedure was carried out in all the patients, as per their group, under the hands of skilled and experienced orthopedic surgeons. Clinical and radiographic outcome in all the patients was assessed. Harris hip score was used for assessing the functional outcome was assessed as per criteria described previously in the literature.Results: We didn’t observed any significant difference while comparing the mean time to sit, mean time to stand and mean time to walk among subjects of the double screw group and the helical screw group (P- value > 0.05). We didn’t observe any significant results while comparing the mean HHS among patients of both the study groups at different time intervals.Conclusion: In treating intertrochanteric fractures of femur, both the treatment protocols could be used with equal efficacy.