Abstract

Introduction: As the elderly population grows, the number of hip fractures continues to increase. Aim and Objective: To compare the clinical outcomes of DHS and PFN in the fixation of intertrochanteric fractures of the femur. Material and Method: A comparative study was conducted in the Department of Orthopaedics, MLB Medical College, Jhansi, Uttar Pradesh. 90 inter-trochanteric hip fractures were surgically treated between January 2023 and January 2024 at our institution. Result: A total of 50 patients were included in the study. The mean age in Group DHS was 63 and in Group PFN was 64. In the group of DHS, 13 out of 25 patients were male, and 12 out of 25 patients were female. In a group of PFN, 14 out of 25 patients were male and 11 out of 25 patients were female. The mean six-week score in Group DHS was 34.38 ± 3.27 out of 50, and in Group PFN it was 32.64 ± 2.99 out of 50. The mean Harris hip score in Group DHS was 90.68 ± 5.22 out of 50. The mean Harris hip score in Group PFN was 93.68 ± 3.76 out of 50. In Group DHS, 56% had injuries on the left side and 44% on the right side. In Group PFN, 20% had injuries on the left side and 80% on the right side. In Group DHS, results were excellent in 36% (9 patients), good in 44% (10 patients), fair in 16% (four patients out of 23 patients), and poor in 4% (one patient). In Group PFN, results were excellent in 48 (12 patients), good in 40% (10 patients), and fair in 12% (3 patients).

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