Author(s): Sreenivasa Neikar1, Naveen Yamanappa Sajjan2, Nagaraj B. Telkar3, Sayed Nasequddin4
Intertrochanteric fractures account for nearly 50% of all fractures of the proximal femur. These injuries commonly affect the elderly and they have a tremendous impact on the healthcare system. Intertrochanteric fractures comprise of fractures occurring in the region between greater and lesser trochanters. Despite marked improvement in implant design, surgical technique and patient care, intertrochanteric fractures remains to be a challenge.
MATERIALS AND METHODS
The present study consists of 60 patients with intertrochanteric fractures of femur who were treated with either DHS and PFN at Vijayanagara Institute of Medical Sciences, Bellary, during March 2014 to September 2015. Case were selected by simple random sampling, each individual is chosen randomly and entirely by chance.
This study was carried out to compare the results of intertrochanteric fractures treated with DHS and PFN. All the 60 patients were asked to follow up at regular interval.
Full weight-bearing in PFN was 10.5 weeks and in DHS 14.50 weeks with P value >0.05. Duration of hospital stay 10.5 days in PFN 14.5 days in DHS. Delayed anatomical complications are external rotation in 1 case of PFN and none in DHS, shortening of >1 cm in 4 cases of PFN and in 10 cases of DHS, varus deformity in 5 cases of PFN and 4 cases of DHS.
PFN is better alternative to DHS in treatments of intertrochanteric fractures, but is technically difficult procedure and require more expertise compared to DHS.