DOI: 10.36347/sjams.2020.v08i10.015

Pages: 2286-2291

Background: We have very few data regarding the socio-demographic and clinical status of patients with Trochanter Fracture of Femur. Trochanter fractures of the femur remains one of the most challenging fractures faced by orthopaedic surgeons. Fracture of the proximal part of the femur are an important cause of morbidity and mortality in all age groups, especially the elderly. Proximal femoral nail and dynamic hip screw system are two widely used methods in treating trochanter fracture of femur. The aim of this study was to evaluate post-operative findings of the patients with Trochanter Fracture of Femur in Treating with Proximal Femoral Nail and Dynamic Hip Screw. Methods: The present prospective comparative study has been done in National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh during the period from July 2015 to June 2017. During this period obeying inclusion and exclusion criteria 30 patients of unstable intertrochanteric fractures of femur were finalized as the study people. Among them 14 cases were treated with PFN and 16 with DHS. All statistical analysis of different variables was analyzed according to standard statistical method by Fisher’s Exact Test and Student t-Test and done by using SSPS method in computer. Result: In this study 63.3% of the subjects were 65 or above 65 years and 10% below 50 years of age. Sixty percent (60%) were male whereas 40% were female. House-wife comprised the main bulk (40%) as occupation. Other occupants were service holders (13.3%), businessman (13.3%), farmer (10%) and day-laborer (3.3%). The rest 20% were involved with other informal jobs. Causes of injury revealed that 26.7% trochanter fractures were caused by RTA and 36.7% by fall from height and 36.7% by accident at home. Two-third (66.7%) of the injuries had right-sided involvement. More than half (53.3%) of subjects were operated within 7 days of the incident. Conclusion: In this study, the highest cases of Trochanter......