ABSTRACT
Intramedullary devices allow for stable anatomical fixation of more comminuted fractures without shortening the abductor lever arm or changing the proximal femoral anatomy. Between intramedullary devices like proximal femoral nail and proximal femoral nail antirotation, the helical blade of latter is believed to provide stability, compression and rotational control of the fracture with higher cut out strength. The aim of the study was to manage and compare the functional and radiological outcomes between Proximal Femoral Nail or Proximal Femoral Nail Anti-rotation II in elderly patients of unstable intertrochanteric fractures.METHODSThis is a prospective comparative study conducted in the Department of Orthopaedics at MLN Medical College and Swaroop Rani Hospital, Prayagraj, from November 2017 till June 2019.RESULTSPreoperative and post-operative clinical evaluation, radiological evaluation, assessment of operative time, number of fluoroscopy shoots, time for fracture union, and post-operative complications in all cases were noted. Results were evaluated using Harris hip score. There was significant (p= 0.0001) association of final outcome between the groups.CONCLUSIONSPFN A offers significant results over PFN in relation to post-operative complications. PFN A significantly reduces the operative time, amount of blood loss and fluoroscopic imaging as compared to PFN. However PFN A offers no significant benefits over PFN in terms of post-operative functional recovery or complications.