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Journal of Orthopedic Education 3(2):p 137-140, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.1
Original Article
Comparision of DHS/TFN in Stable Intertrochanteric Fractures
Naikawadi G.H., Assistant Professor, Department of Orthopaedics, S.N. Medical College, Bagalkot, Karnataka 587102, India. , Naikawadi G.H.1 , Amith S.K.1 , Patted S.M.2 , Narasimha V.S.3
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Journal of Orthopedic Education 3(2):p 137-140, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.1
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Abstract
Surgical management of intertrochanteric fractures is the preferred treatment to avoid complications of prolonged immobilization. Dynamic Hip Screw (DHS) has been the gold standard. Intramedullary devices have biomechanical advantage as they are near to the mechanical axis of hip joint. Seventy one patients with stable intertrochanteric fractures between December 2011 to January 2014 at SNMC, Bagalkot were treated with either DHS or Trochanteric Femoral Nail (TFN), 41 with DHS and 30 with TFN. Results were compared for average duration of surgery, blood loss, hospital stay and functional outcome according to Harris Hip score. There was no significant difference in functional outcome between the two modalities of treatment. However the duration of surgery, blood loss and hospital stay was significantly lower in TFN group. Our study indicates that TFN may be better choice when compared to DHS in stable intertrochanteric fractures.
Keywords: DHS; TFN; Harris Hip Score.
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DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.1
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