Fixation of Sub-Trochanteric Fracture Femur by Dynamic Condylar Screw versus Proximal Femoral Nail, A prospective randomized study

Document Type : Research project

Authors

1 Orthopedic surgery, Faculty of medicine, Portsaid university, Portsaid, Egypt

2 Orthopedic surgery, faculty of medicine, Port said University.

Abstract

Abstract
Background: The subtrochanteric fractures are the fractures occurring in the region of the proximal femur extending from the distal end of the lesser trochanter by 5 cm.
Aim: In this study we aimed to assess fixation of subtrochanteric fracture femur by comparing two methods of fixation, proximal femoral nail PFN (group A) versus dynamic condylar screw (group B).
Methods: This was prospective study; the ongoing study was held in Al-Salam insurance hospital Port Said in the period from October 2021 to October 2022. It was a prospective study that included 30 cases with subtrochanteric femoral fracture.
Results: Patients treated by either of these two methods were statistically analyzed for comparing advantages and disadvantages in terms of operation time, intra and post-operative blood loss, duration of hospital stay, union time and Harris hip score.
Conclusion: The results of subtrochanteric fracture fixation by intramedullary P.F.N or D.C.S were not quite different. The results of P.F.N group were better in terms of intra-operative, post-operative blood loss, intra-operative time, duration of hospital stay and Harris hip score.

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Medicine Updates
Volume 15, Issue 15
October 2023
Pages 33-45

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