Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study

Introduction: As the geriatric population increases, the incidence of intertrochanteric fractures (ITF) has also increased significantly. There are various modalities to treat these fractures. In this study our aim is to analyse outcomes of Proximal Femoral Nail (PFN) in comparison to those of Dynam...

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Main Authors: Pulin Bihari Das, Anurag Singh, Bhabani Shankar Lenka, Sunit Pani
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:Journal of Orthopaedics, Trauma and Rehabilitation
Online Access:https://doi.org/10.1177/2210491720971832
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author Pulin Bihari Das
Anurag Singh
Bhabani Shankar Lenka
Sunit Pani
author_facet Pulin Bihari Das
Anurag Singh
Bhabani Shankar Lenka
Sunit Pani
author_sort Pulin Bihari Das
collection DOAJ
description Introduction: As the geriatric population increases, the incidence of intertrochanteric fractures (ITF) has also increased significantly. There are various modalities to treat these fractures. In this study our aim is to analyse outcomes of Proximal Femoral Nail (PFN) in comparison to those of Dynamic Hip Screw (DHS) for the treatment of ITF. Materials and Methods: This study was carried out during 2017–20. 150 patients of unstable ITF (AO type 31-A2, 31-A3) in elderly were randomly divided into two groups of 75 each and were treated either by DHS or PFN and were followed up regularly. Results: The results were compared between the groups and statistical analyses were performed. The results were assessed with Harris Hip Score(HHS) & Parker Palmer mobility score (PPMS) which were better in PFN group. Conclusion: PFN is a better fixation device for unstable ITF (31 A2 and 31 A3) in elderly patients.
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spelling doaj-art-6187f38bbd7d41efae9fdd918bd455c72025-08-20T02:47:49ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252022-12-012910.1177/2210491720971832Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative studyPulin Bihari DasAnurag SinghBhabani Shankar LenkaSunit PaniIntroduction: As the geriatric population increases, the incidence of intertrochanteric fractures (ITF) has also increased significantly. There are various modalities to treat these fractures. In this study our aim is to analyse outcomes of Proximal Femoral Nail (PFN) in comparison to those of Dynamic Hip Screw (DHS) for the treatment of ITF. Materials and Methods: This study was carried out during 2017–20. 150 patients of unstable ITF (AO type 31-A2, 31-A3) in elderly were randomly divided into two groups of 75 each and were treated either by DHS or PFN and were followed up regularly. Results: The results were compared between the groups and statistical analyses were performed. The results were assessed with Harris Hip Score(HHS) & Parker Palmer mobility score (PPMS) which were better in PFN group. Conclusion: PFN is a better fixation device for unstable ITF (31 A2 and 31 A3) in elderly patients.https://doi.org/10.1177/2210491720971832
spellingShingle Pulin Bihari Das
Anurag Singh
Bhabani Shankar Lenka
Sunit Pani
Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study
Journal of Orthopaedics, Trauma and Rehabilitation
title Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study
title_full Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study
title_fullStr Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study
title_full_unstemmed Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study
title_short Osteosynthesis of intertrochanteric fractures by PFN and DHS – A prospective randomized comparative study
title_sort osteosynthesis of intertrochanteric fractures by pfn and dhs a prospective randomized comparative study
url https://doi.org/10.1177/2210491720971832
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