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Original Article

Author(s): Mustofa MG, Saha S, Ahmed S

PAH Med Col J. Jul 2024; 1(1): 19-24

Abstract

Background: Intertrochanteric fractures are among the most frequent types of hip fractures, particularly in elderly individuals with osteoporotic bones. The Dynamic Hip Screw (DHS) remains the gold standard for managing these fractures.

Objective: This study aimed to compare the functional and radiological outcomes of unstable intertrochanteric fractures treated with Proximal Femoral Locked Compression Plate (PFLCP) versus DHS.

Methods: A prospective comparative study was carried out on patients undergoing either PFLCP or DHS treatment between January 2020 and December 2022, with functional outcomes assessed using the Harris Hip Score (HHS) at 3, 6, and 12 months postoperatively.

Results: DHS treatment was associated with higher blood loss (159 ml), longer operative time (105 minutes), and delayed mobilization, compared to PFLCP (73 ml blood loss, 91 minutes operative time). Limb shortening was greater in the DHS group (9.33 mm) than the PFLCP group (4.72 mm). By 12 months, functional scores were comparable between groups.

Conclusion: PFLCP demonstrated advantages over DHS in managing unstable intertrochanteric fractures, including reduced blood loss, shorter operative time, earlier mobilization, shorter hospital stay, and fewer complications.

Keywords

Dynamic Hip Screw, Proximal Femoral Locked Compression Plate, Intertrochanteric fracture

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How to cite: Mustofa MG, Saha S, Ahmed S. Comparison between Treatment of Unstable Intertrochanteric Fracture of Femur by Dynamic Hip Screws and Proximal Femoral Locked Compression Plate. PAH Med Col J. Jul 2024; 1(1): 19-24.