TREATMENT OF INTERTROCHANTERIC FRACTURES USING PROXIMAL FEMORAL NAIL VS. DYNAMIC HIP SCREW: A META-ANALYSIS

Dr. Radhakrishnan P; Dr. M. R. Rajasekar

Volume : VIII, Issue : VII, July - 2019

TREATMENT OF INTERTROCHANTERIC FRACTURES USING PROXIMAL FEMORAL NAIL VS. DYNAMIC HIP SCREW: A META-ANALYSIS

Dr. Radhakrishnan P, Dr. M. R. Rajasekar

Abstract :

The aim of this meta–analysis was to compare the outcomes of Proximal Femoral Nail (PFN) And Dynamic Hip Screw (DHS) in treatment of intertrochanteric fractures. Method– Relevant randomized or quasi–randomized controlled studies compå the effects of PFN and DHS were searched. Four eligible studies involving 180 fractures were included. Their methodological quality was assessed and data were extracted independently for meta–analysis. Results– After excluding non–randomized control trials and retrospective articles, 4 randomized and quasi–randomized controlled trials were included. The number of fractures included in a single study ranged from 30 to 50. There were a total of 180 fractures. The research papers targeted Asian patients. One study reported more female patients compared to male patients, while two studies reported more male patients compared to female patients. One study didn’t mention the gender specifically; Totally 91 fractures were managed with PFN and 89 managed with DHS. Conclusions– The current evidence indicates that PFN may be a better choice than DHS in the treatment of intertrochanteric fractures. However, the PFN is a significantly costlier implant than the DHS with almost similar final outcome.