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Prospective Research Comparing Different Trochanteric Fracture Fixation Techniques.

Swaroop Solunke1, Abhishek Nair1, Rahul Agrawal1

  • 1Orthopaedics, Dr D Y Patil Medical College Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND.

Cureus
|September 26, 2024
PubMed
Summary
This summary is machine-generated.

Proximal Femoral Nail (PFN) fixation offers superior outcomes for trochanteric fractures compared to Dynamic Hip Screw (DHS) and Proximal Femoral Locking Compression Plate (PFLCP). PFN leads to faster healing, earlier mobilization, and fewer complications, making it a preferred choice.

Keywords:
fixationharris hip scoreproximal femoral nailrehabilitationtrochanteric fracture

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Area of Science:

  • Orthopaedic surgery
  • Trauma management
  • Biomechanical engineering

Background:

  • Trochanteric fractures are common, particularly in the elderly, often resulting from falls.
  • Various fixation methods exist, each with potential advantages and disadvantages in fracture healing and patient recovery.
  • Comparative analysis of these methods is crucial for optimizing treatment strategies.

Purpose of the Study:

  • To evaluate and compare the efficacy of different surgical fixation methods for trochanteric fractures.
  • To assess outcomes associated with Proximal Femoral Nail (PFN), Dynamic Hip Screw (DHS), and Proximal Femoral Locking Compression Plate (PFLCP).

Main Methods:

  • Prospective study involving 100 patients with trochanteric fractures.
  • Patients were treated using PFN, DHS, or PFLCP based on radiological assessment.
  • Outcomes were evaluated over a six-month period, focusing on functional recovery and complication rates.

Main Results:

  • The study included 55% males and 45% females, with the most common cause being domestic falls (60%).
  • Unstable A3 fractures were prevalent (60% of cases).
  • The Proximal Femoral Nail (PFN) group demonstrated significant improvements in mean scores at one, three, and six months post-surgery.

Conclusions:

  • Proximal Femoral Nail (PFN) fixation yielded satisfactory to excellent results for trochanteric fractures.
  • PFN offers advantages including a shorter lever arm, fracture compression, and enhanced rotational stability, reducing mechanical failure risk.
  • PFN treatment is associated with shorter hospital stays, earlier mobilization, less blood loss, and faster bone healing compared to DHS and PFLCP.