Vol. 4, Issue 3 (2018)

Introduction: Hip fractures are common problems in seniors and it is lethal. Pertrochanteric fractures, between the intertrochanteric cord and the lower border of the lesser trochanter, can be stable or unstable. “Dynamic hip screws (DHS)” with “trochanteric stabilisation plates (TSP)” and “cephalo-medullary nails (CMN)” are treatment alternatives. CMN is trusted, but DHS with TSP shows promise. A meta-analysis is needed to compare CMN, DHS, and TSP for unstable trochanteric fractures.

Aims and objectives: The study has compared between TFN with DHS which is treating unstable intertrochanteric hip fractures.

Methods: This examination compared the efficacy of "dynamic hip screw (DHS)" and "trochanteric fixation nail (TFN)" in treating "intertrochanteric fractures". 60 participants experienced radiological and clinical trials. Those requiring resuscitation or splinting were accepted. Informed approval was accepted. Mobility and public health were assessed utilising the Parker mobility score and "The American Society of Anesthesiologists (ASA score)" respectively. Outcomes of DHS and TFN methods were reached for treating intertrochanteric fractures.

Results: Table 1 demonstrates no statistically significant differences in preoperative age or mobility between DHS and TFN groups. Table 2 shows injury modes, with minor falls being the most common in both groups. Both groups had left-sided injuries. Table 3 shows TFN's surgical outcomes: less blood loss, shorter operative time, no implant failures, infections, or mortality. TFN improved complications and limb length disparity. TFN outperforms in early functional recovery and overall function (Table 4).

Conclusion: In conclusion, DHS is recommended for intertrochanteric fractures due to its low cost and high success rate.