Abstract
Methodology: The comparative study was done,
over the period of two years, involving a total of
108 patients of unstable inter-trochanteric
fractures randomly allocated in two groups. One
group was treated with DHS, while second with
PFN. The outcomes were evaluated in terms of the
duration of fracture, duration of surgery, amount of
blood loss, limb shortening, union time, wound
infection and non-union in both groups.
Objective: To compare the outcome of unstable
intertrochanteric fractures managed by proximal
femoral nail (PFN) and dynamic hip screw (DHS).
Results: The mean age of the patients in group A
was 60.2±11.37years and in group B was
58.54±11.43 years. The mean duration of fracture
in group A and B was 3.61±2.02 and 4.02±1.65
days, respectively. The right side was affected in
36 patients group A and B had 33 patients, while
left side in 18 and 21 patients, respectively. Mean
duration of surgical procedure in group A was
78.34±17.12 minutes and 70.19±16.14 I group B.
Mean time taken for union in group A was
16.85±2.18 weeks while for group B it was
13.67±1.72weeks.
Conclusion: Our study favors PFN over DHS in
the treatment of unstable intertrochanteric
fractures because PFN fixation significantly
reduces intraoperative blood loss, operative time,
shortening, infection and union time. (Rawal Med J
202;45:648-651).
