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A comparative study of dynamic hip screw versus proximal femoral nailing in the treatment of Intertrochanteric fracture in elderly age group

Author:

Koner Rao, T., Nagendra Babu, M. and Karthik Reddy, R.

Subject Area:

Health Sciences

Abstract:

Intertrochanteric fractures account for approximately half of the hip fractures in elderly, out of these more than 50% fractures are unstable. Sliding devices like dynamic hip screw have been extensively used for fixation. However, if the patient bears weight early, especially in comminuted fractures these devices can penetrate the head, bend, break or separate from the shaft. Intramedullary devices like proximal femoral nail has been reported to have an advantage in such fractures as their placement allowed the implant to lie closer to the mechanical axis, thereby decreasing the lever arm and bending moment on the implant. The goal of this study is to compare the clinical and radio graphical results of the DHS and PFN for the treatment of intertrochanteric hip fractures (Load bearing vs Load sharing).

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