136655

Comparison between the Results of Management of Recent Unstable Proximal Femoral Fractures by Proximal Femoral Nailing and Locked Plating

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Last updated: 05 Jan 2025

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Abstract

Careful adjustment of the intertrochanteric cracks and early activation of the patients are the ideal treatment to forestall the confusions of delayed immobilization, aside from in patients with clinical issues in whom medical procedure is contraindicated. The Dynamic hip screw (DHS) has been the norm and the best archived embed in rewarding intertrochanteric breaks and in a few randomized preliminaries it has been related with lower difficulties and reoperation rates. Also, it is a more affordable embed, however hypothetically it has a biomechanical drawback in view of a more extensive separation between the weight bearing pivot and the embed A sum of 20 instances of shaky proximal femoral breaks were incorporated, and they were partitioned into two equivalent gatherings; the principal bunch experienced PFN, while the other one experienced LP. Follow up visits was at 1st,3rd,6th weeks and third and sixth months in outpatient facility and results were recorded. Altered Harris Hip Score had a middle of 88 and 85 in the femoral nail and bolted plate bunches separately (p = 0.114). Postponed association was experienced uniquely in one case in the bolted plate gathering, while it was not experienced in the other gathering (p = 0.345). Radiological assessment uncovered a middle score of 3 in both examination gatherings. all the inserts in their own privilege are magnificent modalities in the administration of unsteady proximal cracks of the femur. Precarious proximal femoral cracks with rotational mal-arrangement issues were dealt with best by PFN. Precarious proximal femoral cracks particularly with expanded comminution do give a choice to be fixed by LP.

DOI

10.21608/bjas.2020.136655

Authors

First Name

M.A.

Last Name

Mashhour

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Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

A.A.

Last Name

Ahmed

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Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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First Name

E.M.

Last Name

Bayoumy

MiddleName

-

Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

S.M.

Last Name

Salem

MiddleName

-

Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Volume

5

Article Issue

Issue 5 part (1)

Related Issue

20312

Issue Date

2020-07-01

Receive Date

2020-01-07

Publish Date

2020-07-01

Page Start

55

Page End

65

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_136655.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=136655

Order

9

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Comparison between the Results of Management of Recent Unstable Proximal Femoral Fractures by Proximal Femoral Nailing and Locked Plating

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Article

Created At

23 Jan 2023