Comparison of Clinical Outcomes of Dynamic Hip Screw and Proximal Femoral Nailing for Operative Treatment of Intertrochanteric Femur Fractures

Abstract

Background and Aim: Intertrochanteric fracture is one of the most common cases that orthopedic surgeons are interfered during practice. Mortality and morbidity of the fracture is high because of multiple underlying factors. The quality and results of the fixation of the fracture has been not satisfactory progressed despite advances in methods and equipment.

Method: This study has been performed during April 2015 to April 2017. The participant’s fractures were type one and two intertrochanteric fracture referred to Emam Hossein Hospital in Tehran, Iran. The patients were divided into two PFN and DHS groups randomly then followed one year and finally compared with each variable that included in our study.

Result: In our study, 200 subjects were divided into two groups. There was no difference between two groups in regard to functional outcome and intra and postoperative complications.

Conclusion: There is no clear superiority in terms of functional outcome and complications in treatment of type one and two intertrochanteric fracture between dynamic hip screw (DHS) and proximal femoral nailing. Therefore, it is recommended decisions making is better based on device cost, availability and surgeon experience.