Volume 10, Issue 2 (In-Press 2023)
JROS 2023, 10(2): 0-0 |
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Bahaeddini M R, Mohammadianpour F, Dehghani Nazhvani H R, Ahmadi R, Elahifar O. Comparison in Efficacy and Adverse Effects of Dynamic Hip Screw and Proximal Femoral Nail Anti-Rotation in the Treatment of A2-Type Intertrochanteric Fractures; A Randomized Clinical Trials. JROS 2023; 10 (2)
URL: http://jros.iums.ac.ir/article-1-2255-en.html
URL: http://jros.iums.ac.ir/article-1-2255-en.html
Mohammad Reza Bahaeddini1 
, Fereidoon Mohammadianpour2 , Hamid Reza Dehghani Nazhvani2 , Reza Ahmadi1 , Omid Elahifar 2
, Fereidoon Mohammadianpour2 , Hamid Reza Dehghani Nazhvani2 , Reza Ahmadi1 , Omid Elahifar 2
1- Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedics Hospital, Iran University of Medical Sciences,Tehran, Iran.
2- Department of Orthopedics, School of Medicine Firoozgar General Hospital, Iran University of Medical Sciences,Tehran, Iran.
2- Department of Orthopedics, School of Medicine Firoozgar General Hospital, Iran University of Medical Sciences,Tehran, Iran.
Abstract: (88 Views)
Background: Dynamic Hip Screw (DHS) and Proximal Femoral Nail Antirotation (PFNA) are two commonly used surgical interventions for A2-type fractures. However, it is important to conduct a thorough comparative analysis of their efficacy and complications to make informed decisions in clinical practice.
Aim: This randomized clinical trial aimed to compare the efficacy and adverse outcomes of DHS and PFNA in the treatment of type A2 intertrochanteric fractures. The purpose of this study was to evaluate clinical and radiographic outcomes, as well as treatment results in both groups during a 6-month follow-up period.
Methods: A total of 112 eligible patients were randomly assigned to either the DHS or PFNA group in a 1:1 ratio. Surgical interventions were performed accordingly, and patients were followed up for six months. Demographic factors, clinical and radiographic outcomes, bleeding during surgery, duration of surgery, duration of hospitalization, and rates of non-union and thromboembolic events were compared between the PFNA and DHS groups.
Results: The PFNA group exhibited significantly lower bleeding volume during operation (234.21 vs. 305.38 deciliter, P<0.001) and a shorter operative duration (129 minutes vs. 177 minutes, P<0.001) compared to the DHS group. There were no significant differences in hospitalization duration, non-union rates, or post-surgical thromboembolic events between the two groups.
Conclusion: In terms of operative duration and intraoperative bleeding volume, the PFNA approach demonstrated superiority. Therefore, the PFNA method may be preferred, especially for older patients with comorbidities.
Aim: This randomized clinical trial aimed to compare the efficacy and adverse outcomes of DHS and PFNA in the treatment of type A2 intertrochanteric fractures. The purpose of this study was to evaluate clinical and radiographic outcomes, as well as treatment results in both groups during a 6-month follow-up period.
Methods: A total of 112 eligible patients were randomly assigned to either the DHS or PFNA group in a 1:1 ratio. Surgical interventions were performed accordingly, and patients were followed up for six months. Demographic factors, clinical and radiographic outcomes, bleeding during surgery, duration of surgery, duration of hospitalization, and rates of non-union and thromboembolic events were compared between the PFNA and DHS groups.
Results: The PFNA group exhibited significantly lower bleeding volume during operation (234.21 vs. 305.38 deciliter, P<0.001) and a shorter operative duration (129 minutes vs. 177 minutes, P<0.001) compared to the DHS group. There were no significant differences in hospitalization duration, non-union rates, or post-surgical thromboembolic events between the two groups.
Conclusion: In terms of operative duration and intraoperative bleeding volume, the PFNA approach demonstrated superiority. Therefore, the PFNA method may be preferred, especially for older patients with comorbidities.
Keywords: Intertrochanteric fracture, Dynamic Hip Screw, DHS, Proximal Femoral Nail Antirotation, PFNA, RCT
Type of Study: Research Article |
Subject:
Trauma
Received: 2024/08/31 | Accepted: 2024/11/9 | Published: 2023/05/8
Received: 2024/08/31 | Accepted: 2024/11/9 | Published: 2023/05/8
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