1260 Comparison of the Intramedullary Nail and Dynamic Hip Screw in the Management of Subtrochanteric Femoral Fractures

Abstract Aim Subtrochanteric femoral fractures are said to occur in the 5cm of bone immediately distal lesser trochanter. This study aims compare peri-operative outcome measures patients with subtrochanteric treated either an IMN, or alternative construct, dynamic hip screw (DHS). Method A retrospective review all presenting our institution between October 2014 and May 2019 was performed. All were classified into two treatment groups, IMN DHS. These groups compared on including radiation dose area product (DAP), length hospital stay, estimated blood loss, mortality, re-operation/complication rate. Results total 86 presented a fracture during time period. Of these, 74 (86%) received remaining 12 (14%) The only comparative showing statistically significant difference DAP loss., both which significantly lower DHS group. other failed reach statistical significance. Conclusions Although current United Kingdom national guidelines advise should be used this suggest that DHS, also has reduced implant cost may better option some cases. There not one optimal for fractures. Recent biomechanical research suggests is able provide adequate fixation more stable subtypes, whereas required unstable