Comparative study between DHS and PFN in the management of trochanteric and subtrochanteric femoral fractures

Prasad, DV; Kumar, Santusht; Rabari, Yash B; Bhatt, Neel S.; Suri, Nikhil; Jadhav, Ajinkya

doi:10.22271/ortho.2017.v3.i4b.17

Cited by 2 publications

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“…The fluoroscopy time was found to be much more for the PFN is than that for the DHS similar to that reported by Prasad et al 7 The average amount of blood lost in DHS surgery was markedly more than that in PFN surgery comparable to the results reported by Pajarinen et al, Prasad et al and Mundla et al 1,7,8 Similar study by Portakal et al resulted in complete union of the fracture within 4 months which is comparable to 15.11 weeks reported in our study. 9 Functional outcome with PFN was found to be better than DHS for the treatment of intertrochanteric fractures by Pajarinen et al, Nuber et al and also Cruz et al reported that PFN was an efficient means to treat extracapsular proximal femur fractures.…”

Section: Discussionsupporting

confidence: 88%

Comparative study of fixation of intertrochanteric fracture of the femur by proximal femur nail versus dynamic hip screw

et al. 2020

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Background: Intertrochanteric fractures are common in old age group, but uncommon in younger age group. The goal of treatment of intertrochanteric fractures is restoration to pre-injury status at the earliest. The purpose of this study is to compare the functional outcome of the two fixation devices proximal femur nail (PFN) and dynamic hip screw available for intertrochanteric fractures in terms of the eventual functional outcome of the patient.Methods: Prospective study of 30 cases of Intertrochanteric fractures admitted and operated in KIMS hospital from November 2017 to May 2019. Follow-up of these patients was done at 6 weeks, 12 weeks and 24 weeks with functional evaluation was done using Harris hip score at the 24th week.Results: The results at the end of 24 weeks follow-up were calculated by the Harris hip score were better with the PFN. 66.7% of the patients operated with PFN gave excellent results as compared to 60% of patients operated with dynamic hip screw (DHS).Conclusions: We conclude that the use of PFN for the fixation of trochanteric fractures against the proven DHS offered better results along with a few advantages. PFN required smaller incision, shorter duration of surgery, less blood loss and faster recovery and better functional outcome at the end of 24 weeks. But still PFN is technically more demanding than the DHS and was found to have longer fluoroscopy exposure.

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Section: Discussionsupporting

confidence: 88%

Comparative study of fixation of intertrochanteric fracture of the femur by proximal femur nail versus dynamic hip screw

et al. 2020

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“…It is also described in cases of targeting errors or progressive impaction of the fracture site. We find 3 cases (case 2, case 3, and case 4) in elderly patients with progressive impaction of the fracture site [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville

Bombah

Diawara²,

Ekani

et al. 2021

Case Reports in Orthopedics

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The DHS system is an effective means of open reduction and internal fixation of proximal femur fractures. Postoperative complications are little described and deserve to be studied for better preventive and curative treatment. We report the observations of five (5) patients who presented postoperative complications specific to the DHS system at army instructional Hospital-Libreville. These described complications are related to deterioration of internal fixation leading to callus, nonunion, or infection. Those found are the cut out phenomenon, avascular necrosis of the femoral head, and the fracture of the DHS system. All these complications required surgical revision without functional repercussions at the last follow-up. Complications of internal fixation by the DHS system can be avoided by rigorous asepsis, adequate indications for surgery, and rigorous surgical techniques. Good management can restore hip function.

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Comparative study between DHS and PFN in the management of trochanteric and subtrochanteric femoral fractures

Cited by 2 publications

References 0 publications

Comparative study of fixation of intertrochanteric fracture of the femur by proximal femur nail versus dynamic hip screw

Comparative study of fixation of intertrochanteric fracture of the femur by proximal femur nail versus dynamic hip screw

Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville

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