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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 6 Issue 1 Jan-March 2020

Original Articles

Efficacy of dynamic hip screw and proximal femoral nail in treating patients with inter trochanteric fractures of femur
Anil Gupta, Burhan Bhat

Background: The present study was undertaken for comparing the efficacy of dynamic hip screw and proximal femoral nail in treating patients with inter trochanteric fractures of femur. Materials & methods: A total of 20 patients with history of inter trochanteric fractures of femur were enrolled. Randomization was done and all the patients were divided broadly into two study groups with 10 patients in each group as follows: Group 1: Patients treated with PFN, and Group 2: Patients treated with DHS. Pre-operative planning was done to decide the type and length of implant to be used. All the patients were treated according to their respective groups. All the surgeries were carried out under the hands of skilled and experienced orthopaedic surgeons. Clinico-radiological assessment of the patient was done and comparison was done. Overall clinical outcome using Modified Hip Score was noted for each patient. All the results were analysed by SPSS software. Results: Mean time for complete radiological union among the patients of group 1 and group 2 was 12.81 weeks and 12.19 weeks respectively. Non-significant results were obtained while comparing the mean time for complete radiological union. Mean HHS among the patients of group 1 was 86.12 while among the patients of group 2 was 85.33 respectively. While comparing the mean HHS among the patients of both the study groups, non-significant results were obtained. Conclusion: For treating patients with inter-trochanteric fractures of femur, both PFN and DHS could be used with equal efficacy. Key words: Dynamic hip screw, Inter-trochanteric fractures, Proximal femoral nail

 
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