A study to assess proximal femoral nailing versus dynamic hip screw device in surgical management of intertrochanteric fractures: A comparative study

Abstract

Background: An inter-trochanteric fracture is a type of hip fracture specifically, which are bony protrusions of femur where the muscles of thigh and hip attach. 50% of all hip fractures caused by falling are inter-trochanteric. Aim: The present study assessed the functional outcomes with DHS and proximal femoral nail (PFN) in inter-trochanteric management of fractures. Materials and Methods: This study was a prospective study which was performed for a period of one year. A total of 40 patients were enrolled during the study. DHS and PFN are the two different implants used for management of intertrochanteric fractures. Results: Functional outcome was better and excellent in PFN (65%) compared to that of DHS (50%). The complications were lesser in Paticipants who were treated by PFN compared to that of participants treated with DHS. Conclusions: Proximal femoral nailing method is preferable method in inter-trochanteric fractures management as it has better functional outcome and lesser complications compared to DHS method.