DOI: 10.36347/sjams.2024.v12i04.027

Pages: 498-504

Aims: Intertrochanteric fractures are common types of hip fractures in the elderly population. Different types of surgical treatment options are available for intertrochanteric fractures such as Closed Reduction and Inter Fixation with Proximal Femoral Nail Anti-rotation (PFNA), Open Reduction and internal fixation with Dynamic Hip Screw (DHS), and Hip Arthroplasty. The main purpose of this study is to compare the clinical outcomes of PFNA with Hip arthroplasty in patients with Intertrochanteric Fractures. Materials and Methods: A retrospective cohort study method was used in the current study. The medical record of 101 patients with intertrochanteric fractures was collected. These 101 patients were divided into two groups according to the type of surgical treatment they received, PFNA (n=52) or THA (n=49). The outcome of Hip function was assessed according to the Harris Hip Score (HHS). A simple t-test was performed for statistical analysis. χ2 test used for the analysis of categorical data. P-values <0.05 was considered as significant. Results: Hip Arthroplasty patients had longer surgery duration, length of incision was longer and intraoperative blood loss was more than in those patients who were treated with PFNA (P <0.05). Hip arthroplasty patients could start early weight bearing than those in the PFNA group (P <0.05). There was no any statistical difference between hospital stays in both groups (P >0.05). HHS assessed at those 3 points showed that Hip function in Hip Arthroplasty patients was higher than with those who were treated with PFNA (P <0.05). There was no statistically significant difference between the post-operative complication of both groups, as the P value is >0.05. Conclusion: we concluded that treatment of intertrochanteric fracture with PFNA and Hip Arthroplasty is safe and effective. Each treatment has its advantages and disadvantages but with no significant difference in postoperative complications. Orthopaedic surgeons can choose ........