Comparison between Functional Outcome of 95 Dynamic Condylar Screw versus Proximal Femoral Nail in Treatment of Subtrochanteric Femur Fracture

Objective: Study was done to compare results between the Proximal Femoral Nail (PFN) and 95° Dynamic Condylar Screw (DCS) in Subtrochanteric femur fracture. Hypothesis was made that outcome of PFN technique is comparable to 95° DCS. Materials and Methods: 60 patients were taken in study out of which PFN technique performed on 30 patients and on remaining 30 patients 95° DCS technique was used in a tertiary care Centre. Both technique were compared on basis of time of injury to surgery, operation time, blood loss, hospital stay, blood transfusion, implant related complication, healing time, Harris Hip score and union time.  Results: There was remarkable difference in Harris Hip score, fracture union, mean operative time, blood loss, wound healing. Complications such as pressure sore, pulmonary embolism etc. were found to be higher in 95° DCS group as compared to PFN group. Conclusion: PFN is found to better internal fixation device in treatment of subtrochanteric femur fracture.