Functional outcome of proximal femoral nailing (PFN) versus dimon hughston osteotomy with dynamic hip screw (DHS) fixation in unstable intertrochanteric femur fractures

Author(s): Dr. Hari Prasath T, Dr. Laxmish R and Dr. Narendra Kumar

Abstract: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low energy trauma like simple falls. The goal of the treatment of these fractures is stable fixation, which allows early mobilization of the patient. This study was conducted to compare the functional and radiological outcome of proximal femoral nailing and Dimon Hughston Osteotomy with Dynamic Hip Screw (DHS) fixation in treatment of unstable intertrochanteric femur fractures amongst 60 patients, with 30 patients in each group. In our study we found that patients treated with DHS group showed better results in comparing PFN in terms of early weight bearing, functional outcome, early radiological union but had its own complications. Both are effective in the treatment of unstable intertrochanteric fractures, it is the fracture geometry and bone quality which will influence the choice of fixation.

DOI: https://doi.org/10.22271/ortho.2021.v7.i1g.2516