A Comparative Study of Trochanteric Fractures Treated With the Hip Hemiarthroplasty or the Proximal Femoral Nail

Abstract

INTRODUCTION: The aim of this study was to compare the clinical and functional outcomes of patients treated with partial hip prosthesis (PHP) or double lag screw proximal femoral nailing (PFN) for unstable femoral intertrochanteric region fractures. METHODS: In this study, the data of 101 patients who developed grade 3-4-5 femoral intertrochanteric fractures according to the Evans-jensen classification between 2019-2020 and were treated with cemented PHP or double screw PFN were evaluated retrospectively. Patients who underwent PHP were divided into Group1 and patients who underwent PFN were divided into Group 2. Data between both groups were compared statistically. RESULTS: 101 patients evaluated within the scope of the study were divided into groups as 51 patients who underwent PHP (Group 1) and 50 patients who underwent PFN (Group 2). When the results were compared in terms of mean length of hospital stay, duration of surgery, amount of intraoperative bleeding and postoperative 1 year mortality, the results were found to be statistically significant. (p=0.00, p=0.03) While the difference in BI values between the groups at the postoperative 3rd month was statistically significant (p=0.01). Difference between the Barthel Index (BI) and Harris Hip Score (HHS) values at the 12th month was not statistically significant. (p> 0.05) DISCUSSION AND CONCLUSION: Our study results found the PFN method superior to PHP in terms of average length of hospital stay, duration of surgery, amount of intraoperative bleeding, and postoperative 1 year mortality. Although the mean values were higher in the PFN group in terms of BI, HHS, there was no statistically significant difference.

Keywords

• hip fractures
• intramedullary nailing; arthroplasty.