Comparative Study of Pertrochanteric Fractures Treated with Dynamic Hip Screw and Proximal Femoral Nail

Introduction: Intertrochanteric femoral fractures may be managed by, conservative (or) operative methods.Until 1960, before the introduction of new fixation devices, the conservative methods were the treatment of choice.The choice of implant used for fracture fixation has major influence on complications.Operative management for IT fractures includes extramedullary (sliding hip screw with barrel plate-DHS) and the intramedullary nailing procedures (proximal femoral nail-PFN). Aim of the Study:The goal of this study is to see the advantages theoretically with PFN over the DHS and also to know whether it may change the outcome functionally in patients with intertrochanteric fractures.Materials and Methods: 40 consecutive patients with isolated intertrochanteric fracturesmeeting the inclusion and the exclusion criteria during the study period from July -2019 to September-2021, were admitted and treated, and taken up for the study after obtaining the informed consent. Results:The functional outcome was almost similar in stable intertrochanteric fractures treated with either PFN or DHS.The functional outcomes are significantly better in all patients with unstable IT fractures who are treated with the PFN. Conclusion:We concluded that both the PFN and DHS has almost same outcomes with no significant difference in patients with the stable intertrochanteric fractures.However, with regarding to unstable intertrochanteric fractures PFN had significantly good outcomes in view of early restoration of walking ability after comparing to DHS.