Original Research Article
Year: 2016 | Month: July | Volume: 3 | Issue: 7 | Pages: 50-55
To Study Outcome of Various Surgical Methods in Intertrochanteric Fractures of the Femur
Alok Sood1, Vinay Kumar Srivastava2
1Associate Professor, Department of Orthopaedics, Major SD Singh Medical College, Farrukhabad.
2Associate Professor, Department of Psychiatry, Career Institute of Medical Sciences and Hospital, Sitapur-Hardoi by Pass Road, Lucknow.
Corresponding Author: Alok Sood
ABSTRACT
Background: Trochanteric fractures are one of the most common injuries sustained predominantly in patients over sixty years of age. They are three to four times more common in women who are osteoporotic; trivial fall being the most common mechanism of injury. For many, this fracture is often a terminal event resulting in death due to cardiac, pulmonary or renal complications. Approximately 10 to 30% of patients die within one year of an intertrochanteric fracture. The present study was conducted with the objectives- to compare surgical treatment of intertrochanteric fractures of the femur with the proximal femoral nail and dynamic hip screw device, with respect to duration of surgery, fracture union and functional outcome.
Methodology: The present study was conducted by department of Orthopaedics, Major S.D. Singh Medical College, Farrukhabad. It was a prospective study among Patients admitted to orthopaedics department. The study was conducted from 1st July, 2014 to 30th June, 2015. A sample of size 80 was selected using purposive sampling technique. 40 patients have undergone proximal femoral nailing. 40 patients have undergone dynamic hip screw fixation. The fractures were fixed with either dynamic hip screw fixation or proximal femoral nailing.
Results: The most common age group was in the range of 61 - 80 years, with the mean age of 59.62±15.61 years in dynamic hip screw device group and 62.81±13.92 years in proximal femoral nail group. Maximum cases were female in both the groups. Malunion was seen in 25% of the patient in DHS group while there was 5% malunion in the PFN group. There was significantly better mean post-operative range of movement in PFN than DHS with 84.25 degree mean in DHS group and 98.75 degree mean in PFN group. Excellent to good results were seen in 95% of patient in PFN group and 50% of patients in DHS group.
Keywords: Dynamic hip screw device (DHS), proximal femoral nail (PFN), Intertrochanteric Fractures, Femur.