Comparison of Dynamic Hip Screw and Proximal Femoral Nail in Cases of Unstable Intertrochanteric Fractures of the Femur, in Terms of Blood Loss and Operative Time: Experience in a Tertiary Care Hospital

Ahmed Mustaq Khan; Syed Faraz Anwar; Anas Bin Saif; Asad Ullah Jaffary; Muhammad Omar Rathore

doi:10.51253/pafmj.v73i3.9019

Authors

Ahmed Mustaq Khan Department of Surgery, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
Syed Faraz Anwar Department of Surgery, Pakistan Navy Ship Shifa, Karachi Pakistan
Anas Bin Saif Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Asad Ullah Jaffary Department of Anesthesia, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
Muhammad Omar Rathore Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i3.9019

Keywords:

Blood loss, Dynamic hip screw, Intertrochanteric fractures, Operative time, Proximal femoral nail

Abstract

Objective: To compare Dynamic Hip Screw with Proximal Femoral Nail in unstable Inter Trochanteric femur fractures.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Orthopaedic Surgery, Combined Military Hospital, Malir Pakistan, from Dec 2020 to Aug 2021.

Methodology: This study comprised patients aged 40 to 80 years with unstable inter Trochanteric proximal femoral fractures (AO Classification 31A2, 31A3). These patients were randomised into two Groups. Group-A patients underwent Dynamic hip screw fixation, and Group-B patients were subjected to Proximal Femoral Nailing. Follow-up was done at 2,6,12 weeks postoperatively. Two variables, namely operative time and blood loss, were evaluated.

Result: Thirty patients were recruited in this study, with 18 patients in each Group. The average blood loss for Group-A Dynamic Hip Screw was measured to be 193.3±29.10 ml, and for Group-B Proximal Femoral Nail was 79.44±17.98 ml (p< 0.001). Group-A (DHS) scored an average operative time of 51.56±7.76 min, and Group-B Proximal Femoral Nail was 36.89±3.66 min (p<0.001).

Conclusion: Proximal femoral nailing is a better choice in unstable proximal femoral fractures regarding operative time and blood loss.
Keywords: Blood loss, Dynamic hip screw, Intertrochanteric fractures, Operative time, Proximal femoral nail.