Journal of AdvancedMedical and Dental Sciences Research

Background:Unstable inter trochanteric fractures are notorious for their complications and high failure rates following treatment with conventional dynamic hip screw (DHS). Proximal femoral nail (PFN) and Gamma nail are 2 commonly used devices in the intramedullary fixation. Hence; the present study was undertaken for assessing and comparing the efficacy of proximal femoral nail and dynamic hip screw in treating patients with inter trochanteric fractures of femur. Materials & methods:A total of 28 patients who reported to the department with inter trochanteric fractures of femur were enrolled in the present study. All the patients were broadly divided into two study groups with 14 patients in each group as follows:Group A: Patients who were treated with DHS, Group B: Patients who were treated with PFN. All the patients were treated according to their respective groups. All the surgeries were carried out under the hands of skilled and experienced orthopaedic surgeons. Clinico-radiological assessment of the patient was done and comparison was done. All the results were analysed by SPSS software. Results: No significant difference was obtained while comparing the complete union cases in between PFN group and DHS group (P- value > 0.05). Mean HHS among the patients of DHS group and the PFN group were found to be 84.81 and 85.15 respectively. No- Significant results were obtained while comparing the mean HHS in between the DHS group and the PFN group. Conclusion:Both PFN and DHS can be used with equal efficacy for treating patients with inter-trochanteric fractures of femur. Key words: Dynamic hip screw, Inter-trochanteric fractures, Proximal femoral nail