Functional Outcome of Intertrochanteric Fracture of the Femur Managed by Dynamic Hip Screw versus Proximal Femoral Nail

Abstract

Background: Intertrochanteric fractures are common among the elderly and cause severe morbidity. Surgical fixation procedures such as Dynamic Hip Screw (DHS) and Proximal Femoral Nail (PFN) are extensively used. This study compares the functional outcomes.
Methods: This prospective observational study comprised 50 patients with intertrochanteric femur fractures who were treated for a year. Patients were separated into two groups: DHS (n=25) and PFN (n=25). The Harris Hip Score (HHS) was used to assess functional results at 1, 3, and 6 months’ intervals. Operative time, blood loss, complications, and union time were all examined.
Results: The PFN group had considerably shorter operational times (p<0.05), lower blood loss (p<0.01), and quicker mobilization (p<0.05). At 6 months, the PFN group had a higher mean HHS (85.2 ± 6.3) than the DHS group (78.4 ± 7.1) (p = 0.02). Complication rates were reduced in the PFN group.
Conclusion: When compared to DHS in intertrochanteric fractures, PFN produces better functional outcomes, lower intraoperative morbidity, and speedier rehabilitation.