Assessment of the Proximal Femoral Nailing and Dynamic Hip Screws in Intertrochanteric Fractures

An intertrochanteric fracture is one of three types of proximal femur fractures, occurring in the proximal part of the femur. The other two types are subtrochanteric fractures, which occur below the trochanters, and proximal (or cephalad) fractures of the femoral neck. Objective: To assess the differences in hospital stay, blood loss, and operative time between proximal femoral nailing and dynamic hip screws in the management of intertrochanteric fractures of the femur. Methods: Quasi-experimental study was conducted in Unit II of the Orthopedic Surgery department at Jinnah Hospital Lahore. It included eighty patients whose demographic profiles (name, age, gender, and BMI) were collected. Using a non-probability consecutive sampling technique, patients were divided into two groups: Group A underwent Dynamic Hip Screw (DHS) surgery, while Group B received Proximal Femoral Nailing (PFN) surgery. Data on operative time, blood loss, and hospital stay were analyzed using SPSS version 21.0, with outcomes compared via independent sample t-test at p < 0.05 significance. Results: Regarding hospital stay, blood loss, and operating time, DHS and PFN differed significantly. Compared to the DHS group, the PFN group's operating time, blood loss, and length of hospital stay were much lower. Conclusion: This study has demonstrated that PFN is a far superior option to DHS for treating femur intertrochanteric fractures. Going forward, suggested PFN rather than DHS for femur fractures of this kind.