Comparative study between DHS and PFN in intertrochanteric fractures of femur

Bakshi, A. S.; Kumar, Pardeep; Brar, B.S.

doi:10.22271/ortho.2018.v4.i1d.39

Cited by 6 publications

(10 citation statements)

References 3 publications

(4 reference statements)

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“…Studies contrasting the results of PFN and DHS have largely demonstrated that the PFN procedure was quicker than DHS [5,17,18]. Few studies indicated that the lengths of the two procedures were comparable [19,20].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Dynamic Hip Screw and Proximal Femoral Nailing Techniques in Stable Intertrochanteric Fractures

Shiraz¹,

Shujauddin²,

Hasan³

et al. 2023

Cureus

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Section: Discussionmentioning

confidence: 99%

Comparison of Dynamic Hip Screw and Proximal Femoral Nailing Techniques in Stable Intertrochanteric Fractures

Shiraz¹,

Shujauddin²,

Hasan³

et al. 2023

Cureus

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“…Minimally invasive procedures have gained importance owing to the fact that these fractures occur in a fragile geriatric age group. Proximal femoral nailing has gained popularity as a procedure which can lessen the risk of morbidity and has a biomechanical advantage over DHS [8][9][10] . However, a good pre-reduction is the key for the successful outcome of PFN, hence in this study we evaluate the use of pre-fixation screw for maintaining valgus reduction [4,[8][9][10] .…”

Section: Discussionmentioning

confidence: 99%

“…The maximum patients in our study were in the age group of 60-70 years with a mean age 66.13 years. In similar studies of comparison between PFN and DHS, PFN was the procedure of choice in this age group [4,[8][9][10] . Jones et al, in his comparative study had a blood loss of 73 ml for PFN and 159 ml for DHS [8] .…”

Section: Discussionmentioning

confidence: 99%

“…Proximal femoral nailing is an effective treatment option for intertrochanteric fractures of the femur, bestowing the advantages of biological fixation and lessening risks of morbidity as well as complimenting with a biomechanically stable fixation [8][9][10] . Although this closed fixation system endows superior benefits, outcomes of PFN in intertrochanteric fractures rely mainly on the reduction achieved and maintained intra operatively [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Correction of varus, posterior sag and rotations are important objectives mandatory to achieve prior to fixation with an appropriate implant [6,7] . Proximal femoral nailing has been considered as the implant of choice over dynamic hip screw in geriatric age group as it reduces extensive soft tissue dissection, decreases blood loss, reduces the duration of the procedure and consequently reducing the morbidity [8,9,10] . Correction of varus is an important pre-requisite to achieve stability in IT fractures which can be achieved by traction on the fracture table and placing the hip in neutral or slight abduction [11] .…”

Section: Introductionmentioning

confidence: 99%

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Pre fixation compression screw as a cutting-edge technique for varus correction during proximal femoral nailing for intertrochanteric fractures: A study on 46 cases

Shetty¹,

Ms²,

Sagar³

et al. 2021

Int. J. Orthop. Sci.

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Background: Achieving reduction prior to fixation is a key aspect in successfully managing intertrochanteric fractures. In this study of proximal femoral nailing for intertrochanteric fractures, a novel technique of utilizing pre-fixation compression screw was introduced to achieve and maintain reduction of femoral neck shaft angle. Materials and Methods: The current prospective study was conducted over a period of six months between July 2018 and January 2019 among patients who underwent surgical fixation by PFN for intertrochanteric fractures of femur. Pre-fixation compression screw was used in all the cases to achieve and maintain correction of varus. Pre-operative, intra-operative and post-operative neck shaft angles were documented. Data was analysed by using Statistical Package for Social Sciences (SPSS). The results were expressed as percentages and graphs. Results: There is significant improvement in correction of varus (average increase of neck shaft angle =14.04 degrees) with the use of pre-fixation screw technique. This procedure did neither increase the blood loss (average blood loss = 34.67 ml) during the procedure nor the duration (average duration = 19.46 min) of the procedure. Conclusion: Pre-fixation compression screw can be used as an effective alternative for varus correction in cases of simple intertrochanteric fractures undergoing PFN fixation with added intra-op and post-op advantages compared to other methods of reduction.

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Comparative study on evaluation of results of DHS versus PFN in management of intertrochanteric fractures femur

Lone,

Mushtaq,

Shabir

2024

Int. J. Orthop. Sci.

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Introduction: Inter-trochanteric fractures constitute 38-50% of all femoral fractures' and 5-20% of fractures as whole. The treatments for trochanteric fractures try to regain early mobility and limit morbidity and risk of reoperations. The most currently used dynamic hip screw (DHS) and the proximal femoral nail (PFN) are both with pros and cons. The aim of this study was to compare operative management and functional outcome of femoral intertrochanteric fractures by dynamic hip screw v/s proximal femoral nail implants. Materials and Methods: This prospective study was carried on 60 consecutive patients with intertrochanteric fractures of femur to compare our results of treatment by dynamic hip screw v/s proximal femoral nail. The patients were divided randomly in two groups A (DHS) and B (PFN) with equal number of patients (n=30) in each group. Comparison was done in terms of: duration of surgery, total amount of blood loss during surgery, timing of early mobilization and full weight bearing, radiological assessment for callus formation and bony union, complications with technical and implant failure and Harris hip score for clinical and radiological assessment at end of 12 months. Clinical assessment was done at 3, 6 and 12 months follow-up using Harris Hip Score. Results: The mean duration of surgery was 53.24±8.67 and 69.62±12.82 minutes in group A (DHS group) and group B (PFN group) respectively. In group A (DHS group) mean blood loss was 161.80±21.84 ml and in group B (PFN group) mean blood loss was 91.90±14.98 ml, with a significant difference. In this study post-operative weight bearing and full weight bearing was seen to be significantly quicker in group B (PFN group) patients. The mean time for union in DHS group and PFN group was 4.40±0.53 months and 2.10±0.70 months respectively. The mean Harris Hip Score at 12 months follow-up was 84.18±4.68 and 88.28±3.96 in DHS and PFN groups respectively. Conclusion: We conclude that proximal femoral nail (PFN) is a preferable form of osteosynthesis when treating intertrochanteric fractures compared to dynamic hip screw (DHS).

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Comparative study between DHS and PFN in intertrochanteric fractures of femur

Cited by 6 publications

References 3 publications

Comparison of Dynamic Hip Screw and Proximal Femoral Nailing Techniques in Stable Intertrochanteric Fractures

Comparison of Dynamic Hip Screw and Proximal Femoral Nailing Techniques in Stable Intertrochanteric Fractures

Pre fixation compression screw as a cutting-edge technique for varus correction during proximal femoral nailing for intertrochanteric fractures: A study on 46 cases

Comparative study on evaluation of results of DHS versus PFN in management of intertrochanteric fractures femur

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