Journal of AdvancedMedical and Dental Sciences Research

Objective: To compare functional outcome and complications associated with PFN an intramedullary device with DHS an extramedullary traditional device. Method: It is prospective selective comparative study of an intramedullary device (PFN) group compared with extramedullary DHS group. Total 108 patients of PFN group and 100 patients in DHS group were studied. All relevant pre and perioperative information and complications were recorded. Also assessment of functional outcome was made. Results: The intramedullary group required lesser operative time (p = <0.05) and associated with lesser blood loss (p= <0.05) than the extra medullary group. The overall complication rate is less in intramedullary PFN group. There were no significant difference in functional outcome between both groups. Conclusion: The intramedullary device (PFN) is more useful in the treatment of unstable intertrochanteric fractures as compared to extramedullary device (DHS). Key Words: Hip Fractures, Proximal Femoral nail (PFN), Dynamic hip screw (DHS), intertrochanteric fractures, Screws.