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Proximal Femoral Nail versus Dynamic Hip Screw Fixation for Intertrochantreric Hip Fractures AO Types A2 and A3 in Patients above Sixty Years Old: A Prospective Comparative Randomized Controlled Trials

Author Affiliations

  • 1Hawler Private Hospital, Hawler University, Erbil, Kurdistan, Iraq

Int. Res. J. Medical Sci., Volume 4, Issue (8), Pages 1-5, August,28 (2016)


The point of this study is to think about the treatment and results of temperamental intertrochantric hip cracks AO sorts 31A2 and 31A3 treated by element hip screw (DHS) versus proximal femoral nail (PFN). An imminent randomized and near study was directed on eighty four patients (52 guys (61.9%), 32 females (38.1%)) from March 2011 – March 2013. Out of 84 cases, 40 patients treated with DHS (bunch An) and 44 patients were treat with PFN (bunch B). In this study, greatest age was 92 years and least of 60 years with a normal of 72.1 years. Compared to DHS obsession, PFN obsession had lesser operation time, less blood misfortune watched and the patients were prepared to do early assembly with less healing center stay and lesser rates of insert disappointments (p<0.05), be that as it may, DHS patients indicates speedier union rates long haul follow up as Harris score following one year was comparative in both gatherings. PFN gives more steady obsession to precarious intertrochentric breaks extraordinarily AO sort 31A3 and has more good transient results in type of less technique length of time, blood misfortune and insert disappointments, additionally anticipates neck shortening that is usually seen with DHS obsession.


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