Dynamic Hip Screw and Proximal Femoral Locking Compression Plate as a Surgical Treatment of Trochanteric Fracture of Femur a Comparative Study

Suman, Shashi Kant; Meena, Ashok Kumar; Manjhi, Lal Bahadur

doi:10.9790/0853-1601022426

Cited by 1 publication

(2 citation statements)

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“…27 In another study by Suman et al only one patient in the DHS group developed superficial infection. 28 In our study limb shortening was observed in 10 (16.67%) of the patients whereas in the study by Suman et al three patients in the DHS group and only one patient in the PFLCP group developed limb shortening. 28 In our study, the mean union time for PFLCP group was 2.8±0.2 months while that for DHS group was 3.2±0.1 months.…”

Section: Discussioncontrasting

confidence: 55%

“…28 In our study limb shortening was observed in 10 (16.67%) of the patients whereas in the study by Suman et al three patients in the DHS group and only one patient in the PFLCP group developed limb shortening. 28 In our study, the mean union time for PFLCP group was 2.8±0.2 months while that for DHS group was 3.2±0.1 months. These results were similar to those of a study by Zhnong et al in which the mean union time for the PFLCP group was 3.3±0.2 months while that for the DHS group was 4.3±0.1 months.…”

Section: Discussioncontrasting

confidence: 55%

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Comparison between the outcome of proximal femoral locking compression plate and dynamic hip screw in intertrochanteric femoral fractures

et al. 2021

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Background: Inter-trochanteric femoral fractures are associated with a high complication rate and mortality. This study aims to compare the proximal femoral locking compression plate (PFLCP) with dynamic hip screws (DHS) for inter-trochanteric femoral fractures in terms of mean bone union time.Methods: It was a prospective randomized study conducted at the department of orthopedics, Benazir Bhutto Hospital, Rawalpindi, Pakistan from June 2015 to December 2015. Sixty patients with a diagnosis of inter-trochanteric fractures, requiring orthopedic surgery, were included in the study. After randomization thirty patients underwent PFLCP fixation and the other thirty patients underwent DHS fixation. Patient information, demographic data, and functional level were assessed. Mean bone union time and implant complications were compared for the two treatment groups.Results: Patients who underwent PFLCP fixation demonstrated shorter bone union time (2.8±0.2 months) than those who underwent DHS fixation (3.2±0.1 months) (p<0.000). PFLCP group had 90% bone union whereas DHS group had 76.66% bone union at 12 weeks (p=0.16). Conclusions: PFLCP is better than DHS for intertrochanteric femoral fractures in terms of shorter mean bone union time and fewer complications.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussioncontrasting

confidence: 55%