Comparison of Clinical Outcomes and Union Rates Between Proximal Femoral Nail and Gamma Nail in Intertrochanteric Fractures
DOI:
https://doi.org/10.51985/Keywords:
Boyd and Griffin, Gamaa Nail, Intertrochanteric Fracture, PFN, Union RateAbstract
Objective: To compare the efficacy and outcomes of two different surgical procedures, the PFN and the GAMA nail, in the treatment of intertrochanteric femur fractures.
Study Design and Settings: It was a comparative study. From 1 July 2024 to 1 Feb 2024, 35 patients with intertrochanteric fractures treated with PFN or GAMMA Nail at Shifa International Hospital's Department of Orthopaedics were part of this prospective study.
Results: In this study the mean age of the cases in Group A was 69.27 ± 19.44 and in Group B was 62.15 ± 23.52. Greater tip apex at 6 weeks and 6 months is associated with higher leg length discrepancies as the pearson correlation showed significant p-value 0.000. For the PFN group (n = 13), there was a significant positive correlation between tip-apex distance and leg length discrepancy (r = 0.634, p = 0.020). Similarly, for the Gamma Nail group (n = 22), a significant positive correlation was observed (r = 0.560, p = 0.007).
Conclusion: Our study showed that both gamma nail and proximal femoral nail are trusted devices for intertrochanteric fracture (boyd and griffin type ii) treated by PFN vs Gamaa nail. The comparison of union rate at 6 weeks and 6 months showed and pain score showed comparative results. Moreover, the results showed that Greater tip apex at 6 weeks and 6 months is associated with higher leg length discrepancies as the pearson correlation showed significant p-value 0.000.
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