Comparison of the functional and radiological outcomes of unstable intertrochanteric fractures treated with dynamic hip screw and proximal femoral nail- A prospective randomized controlled study

The intertrochanteric fractures constitute 34% of all hip fractures1. 50% are unstable patterns. DHS and PFN are the two main options for treatment. A prospective randomized control study including 40 patients was carried out. The average blood loss, operating time and complications were significantly higher in the DHS group. PFN provides better fixation for unstable intertrochanteric fractures, if proper preoperative planning, good reduction and surgical technique are followed.