Management of intertrochanteric hip fractures by proximal femoral nail and dynamic hip screw fixation: A comparative study

Intertrochanteric fractures are significantly increasing in older adults. Treatment choices for trochanteric include intramedullary nail and extra medullary fixation, even though the appropriate treatment such remain controversial. The present study was aimed to assess optimal option intertrochanteric determine which method i.e. proximal femoral nailing (PFN) dynamic hip screw fixation (DHS) gives minimal post-operative complications, blood loss duration surgery. A total of 46 cases with attending Department Orthopedics were recruited. Cases randomly allocated PFN (Group 1) DHS 2). intra-operative, early late complications recorded, functional outcome each group assessed. Road traffic accidents most common cause both groups. In 1, mean length incision (9.56 cm), surgery (71.45 min), fluoroscopy time (72.66) intraoperative (138 ml). 2, (15.89 (89.18 (59.38) (322 treated had excellent 21.7%, good 69.56%, fair 8.69% none case poor outcome. Whereas group, 43.47%, 21.7% 13.04%. Both similar However, more desirable requires a smaller incision, shorter surgical duration, less complication than group.