A comparative study between dynamic hip screw and proximal femoral locking plate in the management of unstable pertrochanteric fracture femur

Background: Pertrochanteric fracture represent perhaps the most important public health problem facing the orthopedic surgeon today. The purpose of the present study is to compare dynamic hip screw with proximal femoral locking plate (PFLP) in pertrochanteric fracture femur. Method: During the period from December 2019 to August 2021, 50 patients with pertrochanteric fracture femur who were admitted in the orthopaedics department were selected. The 25 patients treated with PFLP and 25 patients treated with dynamic hip screw according to the standardized protocol. Patients were followed up for the 1 year. Results: The mean operative time and average intraoperative blood loss was more in PFLP group when compared with DHS group it was statically significant.  PFLP group has marginally better functional than DHS group. There was no difference in the radiological outcome between two group.Conclusions: PFLP can be feasible alternative to treatment of complex comminuted pertrochanteric fractures. It can be use in old age patients with osteoporotic bone which provide stable fixation.