Comparison between Functional Outcome of 95° Dynamic Condylar Screw versus Proximal Femoral Nail in Treatment of Subtrochanteric Femur Fracture

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Authors

  • Akshay Bhimrao Fuse
     P.G. Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra ,IN
  • Satyen Joshi
     Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra ,IN
  • Shantanu Bhardwaj
     P.G. Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra ,IN
  • Aditya Apte
     P.G. Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra ,IN
  • Adit Maniar
     P.G. Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra ,IN

DOI:

https://doi.org/10.18311/mvpjms/2019/v6i2/22891

Keywords:

95° Dynamic Condylar Screw (DCS), Proximal Femoral Nail (PFN), Subtrochanteric Femur Fracture
Femur Fracture

Abstract

Objective: Study was done to compare results between the Proximal Femoral Nail (PFN) and 95° Dynamic Condylar Screw (DCS) in Subtrochanteric femur fracture. Hypothesis was made that outcome of PFN technique is comparable to 95° DCS. Materials and Methods: 60 patients were taken in study out of which PFN technique performed on 30 patients and on remaining 30 patients 95° DCS technique was used in a tertiary care Centre. Both technique were compared on basis of time of injury to surgery, operation time, blood loss, hospital stay, blood transfusion, implant related complication, healing time, Harris Hip score and union time. Results: There was remarkable difference in Harris Hip score, fracture union, mean operative time, blood loss, wound healing. Complications such as pressure sore, pulmonary embolism etc. were found to be higher in 95° DCS group as compared to PFN group. Conclusion: PFN is found to better internal fixation device in treatment of subtrochanteric femur fracture.

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Published

2020-05-07

Issue

Volume 6, Issue 2, July-December 2019

Section

Original Research Article

 

References

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