A COMPARATIVE STUDY OF FIXATION OF PERTROCHANTERIC FRACTURES WITH DYNAMIC HIP SCREW AND PROXIMAL FEMORAL NAIL

Trochanteric femoral fractures are among the most common injuries necessitating hospital admission. Regardless the type of fracture, trochanteric fractures can lead to substantial morbidity and mortality , especially in elderly patients.[1,2] Surgery is the mainstay of the treatment for both displaced and non displaced trochanteric fractures, to allow early mobilization of the patient, depending on the stability of the reduction and fixation achieved.[4]Dynamic Hip Screw [DHS] as extramedullary and Proximal Femoral Nail [PFN] as intramedullary systems are established and standard in treatment of trochanteric femoral fractures.[5,6] Aim: To compare the results of Dynamic Hip Screw and Proximal Femoral Nail in the treatment of intertrochanteric fractures. Materials & Methods: In our study we compared DHS with PFN in a group of 60 patients admitted in a tertiary care hospital between August 2013 – December 2016 . Patients with intertrochanteric fractures without having concomitant shaft femur or neck femur fractures were included. The preoperative morbidity was evaluated using Parker's mobility scale. Salvati and Wilson's scoring helped in measuring overall functional outcome at 16 & 24 weeks between the two study groups.