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
- 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.
- Gullberg B., Johnell O. and Kanis J.A. (1997)., World Wide Projection for Hip Fracture., Osteoporosis International, 7(5), 407-413.
- Melton L.J., Kearns A.E. and Atkinson E.J. et al. (2009)., Secular Trends in Hip Fracture Incidence and Recurrence., Osteoporosis International, 20(5). 687-694. http://dx.doi.org/10.1007/s00198-008-0742-8
- Lenich A., Vester H., Nerlich M., Mayr E., Stöckle U. and Füchtmeier B. (2010)., Clinical comparison of the second and third generation of intramedullary devices for trochanteric fractures of the hip—blade vs screw., Injury, 41(12), 1292-1296.
- Saudan M., Lübbeke A., Sadowski C., Riand N., Stern R. and Hoffmeyer P. (2002)., Pertrochanteric fractures: is there an advantage to an intramedullary nail?: a randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail., Journal of orthopaedic trauma, 16(6), 386-393.
- Pajarinen J., Lindahl J., Michelsson O., Savolainen V. and Hirvensalo E. (2005)., Pertrochanteric femoral fractures treated with a dynamic hip screw or a proximal femoral nail., Bone & Joint Journal, 87(1), 76-81.
- Zou J., Xu Y. and Yang H. (2009)., A comparison of proximal femoral nail antirotation and dynamic hip screw devices in trochanteric fractures., Journal of International Medical Research, 37(4), 1057-1064.
- Barton T.M., Gleeson R., Topliss C., Greenwood R., Harries W.J. and Chesser T.J. (2010)., A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur., J Bone Joint Surg Am, 92(4), 792-798.
- Gadegone W.M. and Salphale Y.S. (2007)., Proximal femoral nail–an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year., International orthopaedics, 31(3), 403-408.
- Utrilla A.L., Reig J.S., Muñoz F.M. and Tufanisco C.B. (2005)., Trochanteric gamma nail and compression hip screw for trochanteric fractures: a randomized, prospective, comparative study in 210 elderly patients with a new design of the gamma nail., Journal of orthopaedic trauma, 19(4), 229-233.
- Folman Y., Ron N., Shabat S., Hopp M. and Sternberg E. (2006)., Peritrochanteric fractures treated with the Fixion expandable proximal femoral nail: technical note and report of early results., Archives of orthopaedic and trauma surgery, 126(3), 211-214.
- Parker M.J. and Handoll H.H. (2010)., Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults., Cochrane Database Syst Rev., Sep 8, 112-124.