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2016 ; 70
(1
): 53-6
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Comparing the Intramedullary Nailing Method Versus Dynamic Hip Screw in Treatment
of Unstable Intertrochanteric Fractures
#MMPMID26980933
Yeganeh A
; Taghavi R
; Moghtadaei M
Med Arch
2016[Feb]; 70
(1
): 53-6
PMID26980933
show ga
INTRODUCTION: Dynamic Hip Screw fixation is currently considered as a standard
treatment for pre-trochanteric fractures; however, due to the long-term
hospitalization and some other complications, some researchers have proposed
intramedullary nailing as the alternative surgical treatment. The aim of this
study was to compare and examine the consequences of the using intramedullary
nailing method versus Dynamic Hip Screw. METHODS: In this study 114 patients with
unstable Intertrochanteric fracture refer to Rasoul Akram hospital during 2011 to
2013 has been selected. After reduction, fixation surgery with PFN nail (60
patients) and Dynamic Hip Screw (54 patients) has been performed. All patients
were screen during surgery and six months after surgery and some parameters like,
bleeding, union, as well as complications such as collapse, varus and
medialization of the distal fragment were record and patients. RESULTS: About
some parameters like cutting length, surgery duration, bleeding there were
significant differences between two groups. In six months follow up period 2
patinas from nail and 8 patients from DHS group had non-union. Also from the
point of radiologic and clinical parameters, like anterior thigh pain, cut out,
medialization of the distal fragment, collapse of the neck, walking recovery and
daily activities were significant between two groups. CONCLUSION: Due to the
reduced hospital stay in intramedullary nailing method and the necessity of doing
repeated surgery and applying intramedullary nailing when the patients are not
treated with external fixation, the researchers recommend intramedullary nailing
as the first option in treating such patients.