1. of radiation exposure intra-operatively. Already has a built in derotational screw • 2. - 128.199.74.47. However, in unstable fractures, the DHS device performs less well with a relatively higher incidence of internal fixation failure. Google Scholar, Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audige L (2007) Fracture and dislocation classification compendium—2007: Orthopaedic Trauma Association classification, database and outcomes committee. Discipline: Finance . Proximal diameter 17.0mm . Our writers have a lot of experience with Pfn Vs Dhs Thesis academic papers and know how to write them without plagiarism. J Trauma 63:1054–1060, Park SY, Yang KH, Yoo JH, Yoon HK, Park HW (2008) The treatment of reverse obliquity intertrochanteric fractures with the intramedullary hip nail. INTRODUCTION • The Proximal Femoral Nail Antirotation (PFNA) is an intramedullary device with a helical blade rather than a screw, for better purchase in the femoral head and has been adopted for patients with unstable peritrochanteric fractures. J Orthop Trauma 12:392–399, Madsen JE, Naess L, Aune AK, Alho A, Ekeland A, Stromsoe K (1998) Dynamic hip screw with trochanteric stabilizing plate in the treatment of unstable proximal femoral fractures: a comparative study with the Gamma nail and compression hip screw. UK Toll-free: Franky Estes | New York. MATERIAL AND METHODS: Relevant randomized or quasi-randomized controlled studies comparing the effects of PFN and DHS were searched for following the requirements of the Cochrane Library Handbook. Methods: In the present study prospective comparative evaluation has been done between dynamic hip screws (DHS), proximal femoral nail (PFN) and bipolar hemiarthroplasty for overall clinical outcome of patients with unstable intertrochanteric fractures. October. Conclusion: It is most difficult task to assess and decide as to which technique is better out the two. That way, you're guaranteed to get the results you're looking for. Group 1: 86 hips treated with DHS and group 2: 98 hips treated with PFN. Essay Writing Services We Offer. PFNA and DHS for unstable pertrochanteric fracture results similar to those obtained with the DHS for unstable trochanteric fractures.3,5 Various authors have, however, reported screw cut-out of the femoral head and a higher rate of intra-operative difficulties with the PFN.5,6,9 There is, therefore, an urgent need to modify the intramedullary nail Herode, P., Shroff, A., Sadaria, M., & Jeegar Mohan, P. (2018). Google Scholar, Parker MJ, Pryor GA (1996) Gamma versus DHS nailing for extracapsular femoral fractures. When writers are knowledgeable and trained to write essays, it Pfn Vs Dhs Thesis means they know about the guidelines and rules as well as the varied formats of writing essays. 11 Sep 2019 Topic title: "Homework ". Price: $ 31 #6 in global rating. I appreciate your help. Background. 15. Acta Orthop Scand 72:252–256, Butt MS, Krikler SJ, Nafie S, Ali MS (1995) Comparison of dynamic hip screw and gamma nail: a prospective, randomized, controlled trial. Paper format. J Bone Joint Surg Am 80:618–630, Domingo LJ, Cecilia D, Herrera A, Resines C (2001) Trochanteric fractures treated with a proximal femoral nail. 30% of patients in the study had grade 2 walking ability prior to fall. 5 out of 15 patients in DHS group required blood transfusion either intra or postoperatively. Meta-analysis of ten randomised trials. The Proximal Femoral Nail Antirotation, known as the PFNA, is an intramedullary implant for the treatment of unstable trochanteric femoral fractures. Both the techniques are precise, time tested & require reasonable amount of surgical skill. J Orthop Trauma 15:394–400, PubMed  theadager. Google Scholar, Boldin C, Seibert FJ, Fankhauser F, Peicha G, Grechenig W, Szyszkowitz R (2003) The proximal femoral nail (PFN)—a minimal invasive treatment of unstable proximal femoral fractures: a prospective study of 55 patients with a follow-up of 15 months. https://doi.org/10.1007/s00590-011-0873-z. Therefore, we conducted this meta-analysis to investigate whether there is a significant difference between PFN and DHS fixation in treatment of in-tertrochanteric fractures. All our cheap essays are customized to meet your requirements and written from scratch. Injury 36:105–109, Babst R, Renner N, Biedermann M, Rosso R, Heberer M, Harder F, Regazzoni P (1998) Clinical results using the trochanter stabilizing plate (TSP): the modular extension of the dynamic hip screw (DHS) for internal fixation of selected unstable intertrochanteric fractures. Place an Order Now. Conclusion: We conclude that the proximal femoral nail antirotation 2 (PFN … Share yours for free! The average operating time for the pa-tients treated with PFN was 45 min as compared to 70 min in patients treated with DHS. Clin Orthop Relat Res 375:30–42, Mereddy P, Kamath S, Ramakrishnan M, Malik H, Donnachie N (2009) The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatment of unstable proximal femoral fractures. The typical quantity of bloodstream loss was 208.7 ml for PFN procedure and 483.33 ml for DHS procedure. PubMed Google Scholar. However, PIF was 3.7 times higher within PFN when compared to DHS (15/705:2.1% versus 3/597:0.5%; odds ratio: 3.7). Bhatti et al. Self-tapping 11.0mm Femoral Neck Screw • Anatomical 1.5m radius (antecurvature) Anatomical 10° anteversion. - Iman, 1st year Marketing PFNA vs. DHS helical blade for elderly patients with osteoporotic femoral intertrochanteric fractures. J Bone Joint Surg Am 84-A:372–381, Zou J, Xu Y, Yang H (2009) A comparison of proximal femoral nail antirotation and dynamic hip screw devices in trochanteric fractures. intra medullary implant (PFN). The average time taken for DHS procedure was 124.58 minutes as compared to PFN which was 102.3 minutes.The average duration of radiation exposure was 56.35 seconds for nailing as compared to 96.25 seconds for DHS procedure. 31619 projects executed; 1215 amazing writers; 169 writers online and ready to start working; 4.8 out of 5 customer satisfaction rate. Nataly. patient with DHS or PFN. Although the effects of PFN and DHS in treatment of intertrochanteric fractures have been reported, the results and conclusions are not consistent [10–15]. The blood loss was (179.0 +/- 12.9) ml in PFN; (269.3 +/- 40.0) ml in DHS. • DHS • PFN • 1. Injury 41:810–817, Regazzoni P, Ruedi T, Winquist R, Allgower M (1986) The dynamic hip screw implant system. Screw Slides in Barrel • 1. Clin Orthop Relat Res 348:87–94, Min WK, Kim SY, Kim TK, Lee KB, Cho MR, Ha YC, Koo KH (2007) Proximal femoral nail for the treatment of reverse obliquity intertrochanteric fractures compared with gamma nail. Methodology: comparative study of proximal femoral nail and dynamic hip screw in the treatment of 50 cases of intertrochanteric femur fractures in the Department of orthopedics, DY Patil Hospital Pune was done from July 2015 to July 2016. Receive quotes from our writers and chat with your preferred writers within minutes! J Int Med Res 37:1057–1064, PubMed  Proximal diameter 17.0mm . Help with location the sources. volume 22, pages473–480(2012)Cite this article. The following analysis also included 8 patients with PIF who were referred from other hospitals, resulting in a total of 26 patients. 3. Vol 1, pages. A prospective, randomized study of one hundred patients. Moreover, at our academic Pfn Vs Dhs Thesis service, we have our own plagiarism-detection software which is designed to find similarities between completed papers and online sources. PFN requires shorter operation time and smaller incision; it has distinct advantages over DHS even in stable inter … Injury 26:611–614, Harrington P, Nihal A, Singhania AK, Howell FR (2002) Intramedullary hip screw versus sliding hip screw for unstable intertrochanteric femoral fractures in the elderly. Acta Orthop Traumatol Turc 43:457–463, Yaozeng X, Dechun G, Huilin Y, Guangming Z, Xianbin W (2010) Comparative study of trochanteric fracture treated with the proximal femoral nail anti-rotation and the third generation of gamma nail. Meta-analysis was performed of data on operative time, intraoperative blood loss, incision length, infection rate, lag screw cut-out rate, and reoperation rate. Department of Orthopedics and Traumatology, Baskent University Hospital, Fevzi Çakmak Cad. Mean patient age was 84.8 years (range, 57–95), with a predominance in female (23×) and in the left femur (19×). ang, G.-G. Dai, H. Peng 2 Patients and Methods Patients Eighty elderly (aged ≥ 60 years of age) osteo-porosis patients complicated with femoral intertro - H. i, . The outcome for each group was analyzed, and total operative time, time to union, complications (early and late), and mortality were recorded. The functional results assessed by Harris Hip score showed excellent in 41 cases (56.16%), good in 15 cases (20.54%), fair in 12 cases (16.43%) and poor in 5 cases (6.84%). Aim and Objective- To compare outcome of intertrochanteric femur fractures treated with DHS and PFN. Methods Sixty patients with Guide the Connecting Screw (357.021) through the Insertion Handle (357.012) and secure the PFN A to the insertion handle using the Hexagonal Wrench with T-handle … Our aim was to evaluate clinical results comparing PFN with DHS, including comparison of operative time, intraoperative blood loss, length of incision, postoperative infection rate, lag screw cut-out rate, and reoperation rate. One hundred and eighty-one patients (89 male and 92 female, mean age, 77.1 years) surgically treated for trochanteric fractures were divided into two groups. In PFN there was more no. : a randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. https://doi.org/10.1007/s00590-011-0873-z, DOI: https://doi.org/10.1007/s00590-011-0873-z, Over 10 million scientific documents at your fingertips, Not logged in Introduction: Intertrochanteric femur fractures are common in the elderly people. Select a writer Pfn Vs Dhs Thesis based on their price and experience and start your paper within minutes! Although the effects of PFN and DHS in treatment of intertrochanteric fractures have been reported, the results and conclusions are not consistent. Thank you guys! Compared with DHS xation, PFN xation had similar operation time ( % CI: . Injury 30:327–332, Sadowski C, Lubbeke A, Saudan M, Riand N, Stern R, Hoffmeyer P (2002) Treatment of reverse oblique and transverse intertrochanteric fractures with use of an intramedullary nail or a 95 degrees screw-plate: a prospective, randomized study. DHS has been shown One of Pfn Vs Dhs Thesis the things we value is your money and would never compromise Pfn Vs Dhs Thesis on it so we guarantee you that we will only provide you with the finest work possible. We offer homework writing services with you in mind. 12. Methods Sixty patients with Guide the Connecting Screw (357.021) through the Insertion Handle (357.012) and secure the PFN A to the insertion handle using the Hexagonal Wrench with T-handle … The Proximal Femoral Nail Antirotation, known as the PFNA, is an intramedullary implant for the treatment of unstable trochanteric femoral fractures. ProHomeworkHelp.com gives you the opportunity to receive useful and authentic knowledge from Pfn Vs Dhs Thesis our experts, they Pfn Vs Dhs Thesis are available 24/7 for your support. The average duration of surgery for the PFN (mean time, 55 minutes) was significantly shorter then DHS … When compared to a column screw, use of the helical blade results in increased contact surface area between the device … Pfn Vs Dhs Thesis, resume writing services springfield mo, how to interview someone for an essay, trite college essay topics. next. The purpose of this meta-analysis was to find out whether the proximal femoral nail was better than the dynamic hip screw in the treatment of trochanteric fractures with respect to operation time, blood transfusion, hospital stay, wound complications, number of reoperation, and mortality rate. Dynamic distal locking done will lead to axial nail subsidence and works as Medoff plate • 4. Injury 26:615–618, Banan H, Al-Sabti A, Jimulia T, Hart AJ (2002) The treatment of unstable, extracapsular hip fractures with the AO/ASIF proximal femoral nail (PFN)—our first 60 cases. Conclusion Though PFN and DHS have similar outcomes in stable fractures, PFN has better functional outcome with unstable fractures. intra-operative complications. H. i, . The following analysis also included 8 patients with PIF who were referred from other hospitals, resulting in a total of 26 patients. Self-tapping 6.5mm Hip Pin for rotational stability. In six months follow up period 2 patients from the pfn nail and 8 patients from the DHS group had non-union. Screw Slides in Barrel • 1. Since the incision was smaller and duration of surgery was shorter in PFN, there was less tissue damage and hence lesser blood loss. PDF Objective To evaluate and compare the clinical and radiological outcomes of patients with stable intertrochanteric fractures treated with proximal femoral nail (PFN) vs. dynamic hip screw (DHS). Customer Support. What they teach you will help you improve your grades. The mean duration of surgery was 85.2 min for group 1 and 55.3 min for group 2. Pfn Vs Dhs Thesis. Correspondence to 3. Final decision depends on operative surgeon’s preference to specific technique. Many are downloadable. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urbanization. PFNA-II Surgical Technique DePuy Synthes 5 AO Principles In 1958, the AO formulated four basic principles1, 2, which have become the guidelines for internal fixation in general, We detected no differences between the two treatment groups in regard to early versus late complications, time to union, and overall mortality; however, with its shorter operative period, PFN is a good alternative to the … Term papers . Injury 33:401–405, Simmermacher RK, Bosch AM, Van der Werken C (1999) The AO/ASIF-proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures. Some studies reveal DHS to be better than PFN, while some studies show vice versa. PFN-A2 has advantages over PFNA in following ways: a) the proximal nail diameter was reduced from 17mm to 16.5mm, b) the medio-lateral angle was reduced from 6 degree to 5 degree and c) a flat proximal lateral surface was adapted to avoid impingement of femoral lateral cortex [13,14]. , = 0.15 ). The writers there are skillful, humble, passionate, teaching and tutoring from personal experience, and exited to Pfn Vs Dhs Thesis show you the way. DHS represents extramedullary internal fixation and PFNA represents intramedullary internal fixation [ 7, 12 - 15 ]. Therefore, we conducted this meta-analysis to investigate whether there is a significant difference between PFN and DHS fixation in treatment of intertrochanteric fractures. : 86 hips treated with PFN Vs DHS Thesis based on their price and experience and start paper. N'T provide any sort of writing group 2 for DHS than PFN, there less. 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