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• W2466777748 abstract "The intertrochanteric fractures were found to be the most common injuries sustained predominantly in patients over 60 years of age. They are three to four times more common in women who are osteoporotic, trivial fall being the most common mode of injury. Little attention was paid to these fractures in the past, as they occur through the cancellous bone with excellent blood supply and they healed without any active treatment. However conservative treatment usually resulted in malunion. The goal of treatment of an intertrochanteric fracture is the restoration of the patient to his or her pre-injury status as early as possible. This leads to internal fixation of these fractures to increase patient comfort, facilitate nursing care, decrease hospitalization time, and reduce complication of prolonged recumbency. The type of implant used has an important influence on results of fixation. Sliding devices like the dynamic hip screw have been extensively used for fixation. Intra-medullary devices like the proximal femoral nail have been reported to have an advantage in such fractures as their placement allowed the implant to lie closer to the mechanical axis of the extremity, thereby decrease the lever arm and bending moment of the implant. The purpose of the present study which was done in Department of Orthopedics , M.M.I.M.S.R., Ambala India is to verify the theoretical advantages of the proximal femoral nail over dynamic hip screw device and also whether it actually alters the eventual functional outcome of the patient. Fourty adult patients with intertrochanteric fracture who were available for follow up at least 6 months. post operatively were included in this study. The patients were selected for Dynamic hip screw fixation or proximal femoral nailing randomly. The study period was from JUNE 2012 to FEBRUARY 2014 The patients were evaluated as per the history, mode of injury. Necessary radiological investigations and haematology profile was done on admission. Type of surgery and details were noted. The immediate Post-operative X-ray was evaluated. All the cases were again evaluated at 3 months interval till 6 months. 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 Data was collected on a detailed proforma and analysis." @default.
• W2466777748 created "2016-07-22" @default.
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• W2466777748 date "2014-06-02" @default.
• W2466777748 modified "2023-09-25" @default.
• W2466777748 title "A Comparative Study Of Proximal Femoral Nailing Versus Dynamic Hip Screw Device In The Surgical Management Of Intertrochanteric Fractures (Extracapsular)" @default.
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