Abstract: Background: Hip fractures include mainly trochanteric and femoral neck fractures. The dynamic hip screw (DHS), commonly used in extra medullary fixation, has become a standard implant in treatment of these fractures. Proximal femoral nail (PFN) and Gamma nail are 2 commonly used devices in the intramedullary fixation. Hence; the present study was planned for evaluating and comparing efficacy of dynamic hip screw and proximal femoral nail in the treatment of intertrochanteric fractures of femur.
Materials and Methods: A total of 20 patients scheduled to undergo treatment for intertrochanteric fractures of femur were included in the present study. All the patients were broadly divided into two study groups with 10 patients in each group. Group1 included patients who underwent treatment with DHS, while Group 2 included patients who underwent treatment with PFN. All the procedures were performed under the hands of skilled and experienced orthopedic surgeons. Postoperative follow-up records were maintained till one year time.
Results: No significant difference was obtained while comparing the complete union cases in between PFN group and DHS group. Significant results obtained while comparing the mean duration of surgery in between the subjects of the DHS group and the PFN group (P- value < 0.05). Mean duration of hospital stay in the patients of DHS group and PFN group were found to be 13.45 and 13 days respectively. Non- significant results were obtained while comparing mean duration of hospital stay in between the subjects of the DHS group and PFN group.
Conclusion: PFN is significantly better in comparison to DHS. However; further studies are recommended.
