AbstractIn the present study, we sought to determine outcome of surgical management of unstable intertrochanteric fractures with dynamic hip screw (DHS) and proximal femoral nailing (PFN). This prospective comparative study was carried out on patients admitted in SMS hospital Jaipur between April 2014 to February 2015. Total 80 patients with unstable intertrochanteric fractures were randomly allocated in two treatment groups. 40 patients were treated by DHS and 40 patients were treated by PFN. We looked for length of incision, blood loss, duration of surgery, fluoroscopy timing, union time, any complications and functional outcome. The smaller incision, shorter operative times, relatively less blood loss, less limb shortening and a better overall functional outcome with the PFN indicate that the PFN has advantage over the DHS. However PFN has disadvantage of having more fluoroscopy timing as compared to DHS. There was no statistically difference between union time of fractures in both groups.

Keywords: Intertrochanteric fractures, Dynamic hip screw, Proximal femoral nail.