Dynamic Hip Screw Augmented by Trochanteric Stabilizing Plate versus Proximal Femoral Nail in Fixing Unstable intertrochanteric Femoral Fracture
Main Article Content
Keywords
Dynamic Hip Screw; Trochanteric; Stabilizing Plate; Femoral Nail; Unstable intertrochanteric; Femoral Fracture
Abstract
Background: Intertrochanteric fractures are fractures that involve the proximal region of the femur from the extra capsular part of the femoral neck to the transverse line at the level of the distal end of the lesser trochanter , Aim: The goal of this study was to compare the clinical outcomes of dynamic hip screw augmented by trochanteric stabilizing plate and proximal femoral nail in fixing unstable trochanteric femoral Fracture subjectively and objectively, and evaluated the results of both techniques, highlight their limitations and point out to their complications. Patients and Methods: This was a prospective comparative randomized study curried out at department of Orthopedics at Alzhraa University Hospital and Elmataryia Teaching Hospital. The study population comprised 30 patients with unstable trochanteric femoral fracture, attending during the study period. Results: There was statistically significant difference between the two studied groups as regard blood loss. Group 2 less blood lose than group 2 due to small incision, less release soft tissue and more closed reduction, and there was statistically insignificant difference between the two studied groups as regard post -operative complications, Conclusion: There were no significant differences between PFNA and DHS with TSP in view point of radiologic and clinical outcomes in unstable intertrochanteric fractures of the femur, but PFNA is less invasive device than DHS
with TSP, therefore it may be useful device in elderly patients
References
fracture: a systematic review and meta‐analysis. Orthopaedic Surgery, 2019; 11(5), 745-754.
2. Zhao, K, Wang, Z, Tian, S, Hou, Z, Chen, W,Zhang, Y. Incidence of and risk factors for preoperative deep venous thrombosis in geriatric
intertrochanteric fracture patients. International Orthopaedics, 2022; 46(2), 351-359.
3. Zhang, W, Antony Xavier, R. P, Decruz, J, Chen, Y. D, Park, D. H. Risk factors for mechanical failure of intertrochanteric fractures after fixation
with proximal femoral nail antirotation (PFNA II): a study in a Southeast Asian population. Archives of orthopaedic and trauma surgery, 2021; 141(4), 569-575.
4. Liu, L, Sun, Y, Wang, L, Gao, Q, Li, A, Wang, J, et al. Total hip arthroplasty for intertrochanteric fracture fixation failure. European journal of
medical research, 2019; 24(1), 1-7.
5. Min, B. W, Lee, K. J, Oh, J. K, Cho, C. H, Cho, J. W, Kim, B. S. The treatment strategies for failed fixation of intertrochanteric fractures. Injury, 2019; 50(7), 1339-1346.
6. Kim, J. W, Shon, H. C, Song, S. H, Lee, Y. K, Koo, K. H, Ha, Y. C. Reoperation rate, mortality and ambulatory ability after internal fixation versus
hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: a study on Korean Hip
Fracture Registry. Archives of Orthopaedic and Trauma Surgery, 2020; 140(11), 1611-1618.
7. Asif, M, ur Rehman, Y, Afsar, S. S. Outcome of dynamic hip screw with trochanteric stabilizing plate in treatment of unstable intertrochanteric femoral fractures in elderly patients. The Professional Medical Journal, 2022; 29(01): 31-35.
8. Kavin Kumar, S. A comparative study on functional, clinical and radiological outcome of unstable intertrochanteric fractures managed by
proximal femoral nailing versus dynamic hip screw with trochanteric stabilisation plate (Doctoral dissertation, Kilpauk Medical College, Chennai), 2018.
9. Bhakat, U, Bandyopadhayay, R. Comparitive study between proximal femoral nailing and dynamic hip screw in intertrochanteric fracture of femur. Open Journal of Orthopedics, 2013; 3(07), 291.
10. Patil, S. N, & Srinivas, P. Comparative study between proximal femoral nail and dynamic hip screw with trochanteric stabilizing plate in unstable intertrochantric femur fractures. Int J Res Orthop,2017; 10.
11. Rho, J. Y, Kim, S. B, Heo, Y. M, Cho, S. J, Chae, D. S, Lee, W. S. Proximal femoral nail antirotation versus compression hip screw with trochanter stabilizing plate for unstable intertrochanteric hip fractures. Journal of the Korean Fracture Society, 2010; 23(2): 161-166.
12. Xu, H, Liu, Y, Sezgin, E. A, Tarasevičius, Š,Christensen, R, Raina, D. B, Lidgren, L. Comparative effectiveness research on proximal
femoral nail versus dynamic hip screw in patients with trochanteric fractures: a systematic review and meta-analysis of randomized trials. Journal of Orthopaedic Surgery and Research, 2022; 17(1), 1-11.
13. Biswas, S. ., Bhagyasree, V. ., & Rathod, V. N. . (2022). A CHECKLIST OF BIRDS AND DIVERSITY OF AVIAN FAUNA IN MUDASARLOVA RESERVOIR OF VISAKHAPATNAM, INDIA . Journal Of Advanced Zoology, 42(02), 165–175. https://doi.org/10.17762/jaz.v42i02.51
14. Faisal, H. T. ., Abid, M. K. ., & Abed, A. . (2022). Study Of Some Biochemical Parameters in Dose During Pregnancy in Goats. Journal Of Advanced Zoology, 43(1), 01–06. https://doi.org/10.17762/jaz.v43i1.109
15. Wankhade, L. N. . (2022). STUDY ON BUTTERFLY FAUNA OF KARANJA (GHADGE) TAHSIL OF DISTRICT WARDHA
(MAHARASHTRA). Journal Of Advanced Zoology, 42(02), 186–193. https://doi.org/10.17762/jaz.v42i02.53
16. Gupta, R. K, Sangwan, K, Kamboj, P, Punia, S. S, Walecha, P. Unstable trochanteric fractures: the role of lateral wall reconstruction. International orthopaedics, 2010; 34(1), 125-129
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.