PFN VS DHS THESIS

PFN VS DHS THESIS

The smaller hip pin is inserted to provide rotational stability. The average duration of follow up was 15 months ranging from 5 — 26 months, of which 2 patients were lost to follow up, one in DHS series and other in PFN series. In one case, with delay in surgery of 11 days was noted as the patient was not fit to be taken up for surgery. The average time taken for DHS procedure was The assessment parameters included were the ability to bear weight, rate of union both clinical and radiological, degree of deformity and any limb length discrepancy. The goal of the treatment of these fractures is stable fixation, which allows early mobilisation of the patient.

It was treated with implant removal and re-nailing with PFN and bone grafting. The study quality was assessed according to whether allocation concealment was: No significant differences were found between the 2 groups regarding postoperative infection rate, lag screw cut-out rate, or reoperation rate. Patient had broken the implant after a fall at home. They united after 14 weeks and 16 weeks respectively. Indian Journal of Orthopaedics ; 18 1: We had difficulty in reduction of the fracture in this patient, so the fracture site had to be opened up for reduction.

Table 1 Description of the studies included in the meta-analysis.

Comparison of dynamic hip screw and gamma nail: Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip. Flowchart of study search and selection for the meta-analysis. Both sexes c All types of subtrochanteric fractures treated with proximal femoral nail or Dynamic hip screw.

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pfn vs dhs thesis

Indian Journal of Orthopaedics ; 18 1: JBJS Br ; 60; Despite the mechanical advantages of PFN, lag screw cut-out remains a significant problem, especially in the more unstable fractures. Pvn subsequently united after 10 weeks, 10 weeks and 14 weeks respectively from the time of bone grafting. Data were collected by 2 independent researchers who screened titles, abstracts, and keywords both electronically and by hand; differences were resolved by discussion.

pfn vs dhs thesis

Nailing has the advantage of providing rotational as well as axial stability in cases of subtrochantric fractures allowing a faster postoperative restoration of walking ability, when compared with the dynamic hip screw. The patients were evaluated as per the history, mode of injury.

Bony union was achieved in 24 out of the 26 cases Nailing has the advantage of providing rotational as well as axial stability thwsis cases of subtrochantric fractures allowing a faster postoperative restoration of walking ability, when compared with the dynamic hip screw. The average time taken for DHS procedure was Author information Article notes Copyright and License information Disclaimer.

The Biology of fracture healing in long bones. The study period was from june till august Functional comparison of the dynamic hip screw and the Gamma locking nail in trochanteric hip fractures: Baumgartner and Thomas F. Both sexes c All types of subtrochanteric fractures treated with proximal femoral nail or Dynamic hip screw. Full texts of citations that could possibly be included in the present meta-analysis were retrieved for further analysis.

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Other case was treated by implant removal and nailing with gamma nail and bone grafting, which united after 20 weeks from the second surgery. There was no mortality in this study. The smaller hip pin is inserted to provide rotational stability.

Table 2 Methodological quality of studies included. Males were 37 and females The advantages and disadvantages of the Gamma nail have been well established in several studies done in the past, usually by comparing the results with the Dynamic hip screw DHS. Fractures in adults, ed 2, Philadelphia,JB Lippincott. The assessment parameters included were the ability to bear weight, rate of union both clinical and radiological, degree of deformity and any limb length discrepancy.

The future of hip fractures in the United States.

pfn vs dhs thesis

Please review our privacy policy. In addition, the 6 studies were of relatively poor quality Level Bwhich might weaken the strength of the findings. JBJS ; 75 5 Three research papers targeted Asian patients, and the other 3 targeted Caucasians. In our DHS series, we had a case of wound infection at the operative site which required intravenous antibiotics for a period ddhs 3 weeks.