proximal femoral nail versus proximal femoral locking compression plate in unstable intertrochanteric fractures a prospective study

Abstract

The intertrochanteric fractures constitute 34% of all hip newlinefracture, 50% are unstable patterns. The incidence is on the rise newlinemainly due to increased life expectancy. The main modality of newlinetreatment of intertrochanteric fractures is, operative treatment with newlineboth intramedullary fixation and extra medullary fixation as the two newlineprimary options. Among the intramedullary fixatio n most commonly newlineused types are proximal femoral nailing (PFN) and Proximal newlinefemoral locking compression plate (PFLCP). Although both are newlinebeing commonly there is no sufficient literature comparing both of newlinethem, therefore our study is among the few studies to compare newlinefunctional and radiological outcomes and complications of unstable newlineinter trochanteric fractures treated with PFN and PFLCP. newlineOBJECTIVES OF THE STUDY newlineand#61623; To assess functional outcome of the surgeries using HARRIS newlineHIP SCORE(HHS) newlineand#61623; To assess the radiological outcome using Radiological Union newlineScore of Hip (RUSH) newlineMETHODOLOGY newlineA prospective study was conducted with a sample of 40 newlinepatients with unstable intertrochanteric fractures of femur. Of this newline20 were treated with Proximal Femur Nail (PFN) and 20 treated newlinewith is Proximal Femoral Locking Compression Plate (PFLCP). The newlineoutcome were assessed using HHS scoring system and RUSH newlinescoring system. newlineRESULTS newlineA total of 40 patients were evaluated in this study, they were newlinedivided into 2 groups of 20 patients each. We observed that both newlinefunctional and radiological outcomes between the two groups had newlinestatistically significant differences (plt0.001). We have observed newlinethat the mean RUSH score and mean HHS score were more among newlinethe PFN group when compared with the PFLCP group. We also newlineobserved that the average operating time in PFN patients was found newlineto be 77 min and average operating time in PFLCP patients was newlinefound to be 98.22minutes, the average blood loss in PFN patients newlinewas found to be 78.75 ml and in PFLCP pati ents was found to be newline122.25 ml. newlineCONCLUSION newlineThis study found that both PFN and PFLCP were effective newlinetreatments for unsta