Journal of AdvancedMedical and Dental Sciences Research

Background: To compare the efficacy of two screws versus single helical screw in proximal femoral nailing for treatment of intertrochanteric fractures of femur. Materials & methods: The present study included 40 cases of intertrochanteric fractures of skeletally mature adults out of which twenty each were operated upon with two screw proximal femur nail and single helical screw proximal femoral nail. Informed consent was taken as per the performa. Type of anaesthesia to be used was decided by the anaesthesiologist. Patients were discharged after primary complications were excluded. Follow up was done. At each visit clinical, radiological and functional outcome of the patient was assessed. Results: Mean time for partial weight bearing among patients of double screw and helical screw was 18.45 days and 14.74 days respectively (p-value < 0.05). Mean time required for fracture to unite among subjects of double screw group and helical screw group was 85.74 days and 88.32 days respectively (p-value > 0.05). Conclusion: PFN is an excellent implant in the management of Inter-trochanteric fractures.