files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
About US
Editors
Issues
Pages
Indexed in
237
Views
11
Downloads

Comparative Study of Clinical and Radiological Outcomes of Unstable Proximal Femoral Fractures Managed by Cephalomedullary Nailing VS Dynamic Condylar Screw

Anupam Mural, Ram Avtar, Rajat Gupta, Navodeep , Ankur and Rohan Krishnan
Page: 28-34 | Received 20 Aug 2024, Published online: 14 Nov 2024

Download Citation
https://doi.org/10.36478/makrjms.2024.12.28.34

Full Text Reference XML File PDF File

Abstract

This study compares the clinical and radiological outcomes of unstable proximal femoral fractures managed by cephalomedullary nailing (CMN) versus dynamic condylar screw (DCS) fixation. A prospective randomized study was conducted between April 2023 and August 2024 at the Department of Orthopaedics, ESI‐PGIMSR, New Delhi, involving 48 patients divided into two equal groups. Group A (n=24) received CMN, while Group B (n=24) was treated with DCS. Clinical outcomes were assessed using the Harris Hip Score (HHS) at preoperative, 6‐week, 3‐month and 6‐month intervals and radiological union was evaluated using plain X‐rays at the same time points. The results demonstrated that Group A (CMN) had significantly better functional outcomes compared to Group B (DCS), with higher mean HHS scores at 3 and 6 months (p<0.001 and p=0.009, respectively). Radiological union was also faster in Group A, with 91.7% achieving complete union by 6 months compared to 54.2% in Group B (p<0.001). Furthermore, Group A patients experienced fewer complications and quicker return to daily activities, with 91.7% back to normal activities by 6 months, compared to none in Group B (p<0.0001). This study concludes that cephalomedullary nailing offers superior clinical and radiological outcomes for unstable proximal femoral fractures compared to dynamic condylar screw fixation, making it a more effective option for managing such fractures.

How to cite this article:

Anupam Mural, Ram Avtar, Rajat Gupta, Navodeep , Ankur and Rohan Krishnan. Comparative Study of Clinical and Radiological Outcomes of Unstable Proximal Femoral Fractures Managed by Cephalomedullary Nailing VS Dynamic Condylar Screw.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.28.34
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.28.34