A COMPARATIVE STUDY OF FUNCTIONAL OUTCOMES OF FIXATION OF INTERTROCHANTERIC FRACTURES WITH DYNAMIC HIP SCREW FIXATION OR PROXIMAL FEMORAL NAILING FIXATION

PRABHAT YADAV; PRANAY KHANDELWAL; VISHAL SINGH; SAROJ KUMAR MAHARAN; HARENDRA SINGH TOMAR

doi:10.22159/ijcpr.2025v17i6.7092

Authors

PRABHAT YADAV Department of Orthopedics MGM Medical College Indore, Madhya Pradesh, India
PRANAY KHANDELWAL Fellow in Arthoplasty Max Hospital Patparganj Delhi, India
VISHAL SINGH Department of Orthopedics MGM Medical College Indore, Madhya Pradesh, India
SAROJ KUMAR MAHARAN Department of Orthopedics MGM Medical College Indore, Madhya Pradesh, India
HARENDRA SINGH TOMAR Department of Orthopedics MGM Medical College Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.22159/ijcpr.2025v17i6.7092

Keywords:

Injury, Elderly, Intertrochanteric, Proximal femoral nailing, Dynamic hip screw

Abstract

Objective: Intertrochanteric fractures are one of the most common and most devastating injuries in the elderly. With the tremendous improvements achieved in the field of medicine over the decades, life span of an individual has also increased. Treatment of intertrochanteric fracture is by both non-operative and operative methods.

Methods: This is a prospective study of 30 cases of intertrochanteric fractures treated by early surgical fixation with Dynamic hip screw fixation or proximal femoral nailing. The period of survey and follow-up extends from oct 2020 to march 2022. Harris Hip Score (HHS) was used to assess functional outcome.

Results: The mean age of the PFN group was 61.9+10.49 years, whereas the mean age for DHS group was 61.63+9.02 years. The PFN group had a higher HHS score in the current investigation and an intergroup comparison of the Harris Hip score between the PFN and DHS groups revealed significant differences at each follow-up period.

Conclusion: The PFN is a better alternative of fixation in patients with intertrochanteric femur fractures in terms of functional outcome.

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