A COMPARATIVE STUDY OF RECONSTRUCTION NAILING VERSUS DYNAMIC HIP SCREW DEVICE IN THE SURGICAL MANAGEMENT OF INTERTROCHANTERIC FRACTURES.

Corresponding Author:
Dr. Pereddy Somashekhara Reddy,
Associate Professor,
Department of Orthopaedics,
Apollo Institute of Medical Sciences
and Research Centre,
Hyderabad.
E-mail: drpereddysr@gmail.com

ABSTRACT

BACKGROUND

Intertrochanteric fractures are one of the most common injuries sustained in patients over sixty years of age. In the current century due to increased life expectancy and increased expectancy of a better quality of life, orthopaedic surgeons have a great challenge to face in treating proximal femoral fractures and with decreased rate of complications. The surgical management of these fractures has gone through array of implants and surgeries.

MATERIALS AND METHODS

The study conducted was time bound, hospital based, prospective comparative study. It was non-randomised as patients were segregated into group A (Recon nail) and group B (Dynamic hip screw) based on their choice.

RESULTS

Results were assessed in terms of length of stay, blood loss, fracture union, functional outcome, duration of surgery and complications.

CONCLUSIONS

Duration of surgery was assessed at the time of surgery between Recon nail and DHS groups. Blood loss and length of hospital stay were assessed and noted postoperatively. Functional outcome and fracture union are assessed. Procedure time for DHS (average time-128.83 minutes) was more compared to Recon nail (average time in the study group was 75 minutes). DHS being an open procedure there was more blood loss than Recon nail. Patients treated with DHS needed longer duration of hospital stay than Recon nail. Non-union and other complications were more in DHS group. Functional outcomes at 3 months were better in Recon nail (mean modified Harris hip score for Recon nail 44.1 versus DHS 41.07) which was due to less blood loss, shorter duration of surgery, decreased hospital stay and early ambulation.

KEYWORDS

Intertrochanteric Fracture, Recon Nail, DHS.