Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
This study is a comparison between two operative modes of management of intertrochanteric fractures. The two procedures used are proximal femoral nail and dynamic hip screw. We selected 40 cases of intertrochanteric fractures. All 4 types of intertrochanteric fractures are included. We had 12 cases of type‐1, 16 cases of type‐2, 8 cases of type‐3 and 4 cases of type‐4 fractures. 6 cases of type‐1, 8 cases of type‐2, 4 cases of type‐3 and 2 cases of type‐4 fractures. Two groups each were fixed with dynamic hip screw and proximal femoral nailing for each groups consisting of 40 cases. 20 cases were fixed with dynamic hip screw and 20 cases fixed with proximal femoral nail. With a ratio of 1.5:1. All the 20 cases were closed fractures. Most common mode of injury is accidental fall injury. All cases were evaluated with x‐ray pelvis with both hips anteroposterior view and the affected hip were both anteroposterior and lateral views.. All fractures are fixed by lateral approach. Operating time is longer for proximal femoral nailing than dynamic hip screw fixation. Fluroscopic exposure is more for the proximal femoral nailing than dynamic hip screw. Time of union for dynamic hip screw fixation at 6 weeks is 28%, 10 weeks is 68% and 14 weeks is 84%. Time of union for proximal femoral nailing at 6 weeks is 36%, 10 weeks 80% and 14 weeks is 92%. Functional outcome is excellent in 12 cases, good in 3 cases, fair in 3 cases and failure in 2 cases. Type‐1 and 2 fractures have excellent to fair results. Type‐3 and 4 fractures have excellent to failure results. Dynamic hip screw has 60% excellent results, whereas proximal femoral nailing has 70% excellent results. Postoperative complications was infection in 4 cases, malunion in 2 cases, delayed union in 2 cases, bed sores in 1 patient, limb length inequality in 5 patients, none of them had any functional deficit, lag screw pull out in one case. No vascular and neurological complications were noted in these 20 cases.
How to cite this article:
B. Mahesh and Shaik Mohamed Abid. Comparison Between Cephalomedullary Nailing Procedure and Dynamic Hip Screw For Intertrochanteric Fractures of the Femur.
DOI: https://doi.org/10.36478/10.36478/makrjms.2020.254.259
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2020.254.259