Comparative analysis of outcome of different treatment modalities in surgical management of subtrochanteric fractures

1 senior resident doctor, department of orthopedics, Smimer medical college, surat,Gujarat,india. 2 resident doctor, Department of orthopedics, Smimer medical college,Surat,Gujarat,india. 3 resident doctor, department of orthopedics, Smimer medical college, surat,Gujarat,india. Abstract INTRODUCTION: Sub-trochanteric fractures have evolved as one of the most important causes of morbidity and mortality in elderly patients. They account for approximately 10-30% of peritrochanteric fractures. Early surgical intervention is needed in majority of the patients to avoid the major complications that can occur due to long term immobilization which include deep vein thrombosis, thrombophlebitis, urinary and lung infections and ulcers. This pattern of fracture is associated with higher rates of malunion and non-union than any other femoral fractures. A number of modalities of management exists for this pattern of fracture. Our aim of study is comparative analysis of outcome of different treatment modalities in surgical management of subtrochanteric fractures MATERIALS AND METHODS: Comparative analysis of outcome of different treatment modalities in surgical management of subtrochanteric fractures at SMIMER. RESULT AND CONCLUSION: All PFN, DCS are effective in the management of subtrochanteric fractures. Subtrochanteric fractures are fractures which take a longer time for union. Advantages of PFN over DCS are decreased blood loss, decreased duration of surgery and less devascularisation of the fracture fragments, with less disturbance of fracture hematoma increased chances of closed reduction in PFN over DCS. KEYWORDS: Subtrochanteric fractures, Proximal femoral nail, Dynamic condylar scre