European Journal of Cardiovascular Medicine

Background: It is essential to determine the optimal treatment for intertrochanteric (IT) fractures due to their high incidence and related public health burden. Debate remains as to whether dynamic hip screws (DHS) or proximal femoral nails (PFNs) are best practices, and our study seeks to gather information relevant to this query. Methods: We undertook a retrospective audit of 90 patients in Rohilkhand Medical College between 2017 to 2021, who received a dynamic hip screw (Group A) or a proximal femoral nail (Group B) in order to compare age, sex, duration of surgery, blood loss, fluoroscopy time, functional outcome based on Harris hip score and radiological outcome was compared. Intraoperative and pre-operative data were collected from the record and patients were followed up for functional outcomes. Results: Out of 90 patients 45 (50%) patients were placed in each group. The average age of the patients was 64.43±17.17 years. Intraoperative blood loss in the PFN group(157.11ml) was significantly less compared to the DHS group (388.44ml), the mean duration of surgery in PFN group was 73.44min and 92.56min in DHS group(P<0.001), a shorter incision in PFN group compared to DHS group. The average limb shortening in both groups was not significant. The patients treated with PFN had better results than DHS when compared to Harris hip score. Conclusion: This study demonstrated PFN was found to be a better implant as compared to DHS, among patients undergoing intertrochanteric fracture fixation via PFN or DHS.