Comparison of proximal femoral nailing (PFN) and proximal femoral locking plate (PFLP) for intertrochanteric femur fracture in elderly.

Authors

  • Syed Muhammad Khalid Karim Dow International Medical College Dow University of health Sciences Karachi.
  • Sheikh Naeem Ul Haq International Medical College Dow University of health Sciences Karachi.
  • Abdul Rehman Khan Dow International Medical College Dow University of health Sciences Karachi.
  • Abdur Rab Nawaid Dow International Medical College Dow University of health Sciences Karachi.

DOI:

https://doi.org/10.29309/TPMJ/2021.28.10.6062

Keywords:

Proximal Femoral Nail, Proximal Femoral Locking Plate, Unstable Intertrochanteric Fracture

Abstract

Objective: To compare the functional outcome of PFN and PFLP for the treatment of unstable four part intertrochanteric femur fracture. Study Design: Randomized Controlled Trial study. Setting: Orthopedics Department, Dow International Medical College, Karachi. Period: February 2019 to January 2020. Material & Methods: 281 patients were included and assigned to each group PFNA and PFLP alternatively. Both groups were compared for functional evaluation by Harris hip score. Result: Duration of surgery, perioperative hemoglobin loss, and duration of fracture healing were significantly lower in PFNA group as compared to PFLP, P<0.05. But Harris Hip score was significantly higher in PFNA group as compare to PFLP P>0.05. Conclusion: PFN has better functional outcome. This makes it a better method of fixation as compared to PFLP in elderly intertrochanteric femur fracture.

Author Biographies

Syed Muhammad Khalid Karim, Dow International Medical College Dow University of health Sciences Karachi.

MBBS, FCPS

Assistant Professor Orthopedics

Sheikh Naeem Ul Haq, International Medical College Dow University of health Sciences Karachi.

MBBS, MS

Assistant Professor

Abdul Rehman Khan, Dow International Medical College Dow University of health Sciences Karachi.

MBBS, FCPS

Assistant Professor

Abdur Rab Nawaid, Dow International Medical College Dow University of health Sciences Karachi.

MBBS, FCPS

Assistant Professor

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Published

2021-09-30