A comparative study of surgical management of intertrochanteric fractures using dynamic hip screw (DHS) and proximal femoral nail (PFN)

Abstract

Intertrochanteric fractures are common fractures seen in patients over 60yrs of age, mostly due to trivial trauma. Incidence has increased primarily due to increasing life span & more sedentary life style brought by urbanization. As conservative methods resulted in higher mortality rates and complications, Stable Internal fixation and early mobilization has been the standard method of treatment. DHS with side plate assembly is most commonly used device for fixation of intertrochanteric fractures, The latest implant for management of intertrochanteric fracture is PFN. This implant is a cephalomedullary device and has many potential advantages. In view of these conditions, this study is taken up to compare the results of DHS and PFN in the treatment of intertrochanteric fractures. Studies have shown that when compared to DHS, PFN had certain advantages. Aims and objectives: To compare surgical treatment of intertrochanteric fractures of femur with PFN and DHS with respect to fluoroscopic time, duration of surgery, post operative shortening and functional outcome.