Proximal Femoral Nail versus Dynamic Hip Screw in Fixation of Unstable Intertrochanteric Fractures of Femur (Systematic Review & Meta-Analysis)

Abstract

ntertrochanteric femoral fractures are common in the elderly. They account for more than 50% of all hip fractures and are a common orthopedic problem in this age group. They are extra capsular fractures of the proximal femur between the greater and lesser trochanters. Due to the mortality and significant morbidity associated with these fractures, they constitute a major challenge to all orthopedic surgeons. The incidence of hip fractures increases upon aging, so that 90% occur after the age of 70. The lifetime risk of hip fracture is 23.3 % for a woman and 11.2% for a man respectively. The estimated rate for elderly people sustaining a hip fracture by the age 90 is 30%. The aim of the study is to compare between the use of DHS and proximal femoral nail in treatment of unstable intertrochanteric fractures of the Femur through systematic review and met analysis.