The blood loss was (179.0 +/- 12.9) ml in PFN; (269.3 +/- 40.0) ml in DHS. The writers there are skillful, humble, passionate, teaching and tutoring from personal experience, and exited to Pfn Vs Dhs Thesis show you the way. J Int Med Res 37:1057–1064, PubMed  If you are unsure of the version of your browser, you can determine it by choosing 'Help' at the top of your browser window and then selecting 'About' (your browser). volume 22, pages473–480(2012)Cite this article. 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, 12. 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. Self-tapping 6.5mm Hip Pin for rotational stability. Int Orthop 25:298–301, Xu YZ, Geng DC, Mao HQ, Zhu XS, Yang HL (2010) A comparison of the proximal femoral nail antirotation device and dynamic hip screw in the treatment of unstable pertrochanteric fracture. Conclusion Though PFN and DHS have similar outcomes in stable fractures, PFN has better functional outcome with unstable fractures. All our cheap essays are customized to meet your requirements and written from scratch. You can rest assured cheap prices on our help won’t prevent us from delivering the custom written papers Pfn Vs Dhs Thesis on time, within the deadline you set. Introduction: Intertrochanteric femur fractures are common in the elderly people. On-time delivery. 11 Sep 2019 Topic title: "Homework ". The proximal femoral nail (PFN) introduced by the AO/ASIF group in 1998 has become 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. 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. The Proximal Femoral Nail Antirotation, known as the PFNA, is an intramedullary implant for the treatment of unstable trochanteric femoral fractures. The application of full-weightbearing immediately after the operation was possible for 97% of the PFN patients and 88% of the DHS patients. A Customer Service Essay: the Art Pfn Vs Dhs Thesis of Writing . For order queries and updates: Document Type "Works very quickly and efficient" Rewrite Week 6 Case Study. 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. Meta-analysis was performed of data on operative time, intraoperative blood loss, incision length, infection rate, lag screw cut-out rate, and reoperation rate. Pfn Vs Dhs Thesis it comes to learning how to write better, UWriteMyEssay.net is that company. average blood loss during PFN procedure was 73ml, which was significantly less than DHS procedure (159ml) (P=0.001). 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 … That way, you're guaranteed to get the results you're looking for. Department of Orthopedics and Traumatology, Baskent University Hospital, Fevzi Çakmak Cad. 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. UK Toll-free: Franky Estes | New York. Total duration of surgery was significantly lower for PFN than it was for DHS. Other custom writing. BACKGROUND: The aim of this meta-analysis was to compare the outcomes of proximal femoral nail (PFN) and dynamic hip screw (DHS) in treatment of intertrochanteric fractures. Since the incision was smaller and duration of surgery was shorter in PFN, there was less tissue damage and hence lesser blood loss. • DHS • PFN • 1. Meta-analysis of ten randomised trials. intra medullary implant (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 … Both the techniques are precise, time tested & require reasonable amount of surgical skill. Pfn Vs Dhs Thesis, what is a hero argument essay prompt source 1, how has my life developed essay, ways to quit smoking research pap. Online writing service includes the research material as well, but these services are for assistance purposes only. Research papers . 6. Browser Upgrade Information is available by clicking on the appropriate link above. 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%). Compared with DHS xation, PFN xation had similar operation time ( % CI: . 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. Mean follow-up was 26.8 months. Third times the charm! PFN= DHS+TSP+Medoff Plate Plus Intra Medullary implant! prev. Orcun Sahin. 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. The incidence of Intertrochanteric femur fractures is more in the female population compared to the male due to osteoporosis. We will provide useful information that’s meant to guide a writer in completing his or her task in a manner that’s interesting and Read more>> PARTNERSHIP WITH A LEGAL BODY HAVING AN OFFICIAL REGISTRATION. Reasonable prices. Moreover, our team is also proficient to provide custom written papers for your guidance. PFN requires shorter operation time and smaller incision; it has distinct advantages over DHS even in stable inter … Our chat support system remains active, and you can contact us on WhatsApp number. Pfn Vs Dhs Thesis, formatierung dissertation fu berlin, essay for government describing how to run for the presidency, common app essays good Get the information you need to land your dream job faster – delivered to your inbox, every week. - Iman, 1st year Marketing Hire. Kill the stress! The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urbanization. PFNA vs. DHS helical blade for elderly patients with osteoporotic femoral intertrochanteric fractures. Stop the insanity ! UNLIMITED REVISION . The typical time taken for DHS procedure was 124.58 minutes when compared with PFN that was 102.3 minutes.The typical time period of radiation exposure was 56.35 seconds for nailing when compared with 96.25 seconds for DHS procedure. Nataly. Out of 25 cases of DHS, majority cases (13) took between 1 hour 36 minutes to 2 hours. All randomized controlled trials comparing proximal femoral nail and dynamic hip screw in the treatment of trochanteric fractures were included. The goal of this study is to compare the clinical and radiographical results of Dynamic hip screw (DHS) and Proximal femoral nail (PFN) for the treatment of trochanteric hip fractures. 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). Some studies reveal DHS to be better than PFN, while some studies show vice versa. DHS represents extramedullary internal fixation and PFNA represents intramedullary internal fixation [ 7, 12 - 15 ]. 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. Thank you guys! comparative advantage of intramedullary nailing method vs. DHS in terms of small incision and lesser bleeding time, shorter duration of the surgery and significantly a better functional outcome. A significantly shorter operation time (44.3 vs. 57.3 min) and a considerably shorter in-patient stay (18.6 vs. 21.3 days) were common with PFN. Int Orthop 20:163–168, Gundle R, Gargan MF, Simpson AH (1995) How to minimize failures of fixation of unstable intertrochanteric fractures. The outcome for each group was analyzed, and total operative time, time to union, complications (early and late), and mortality were recorded. Result: Result were almost similar in both groups. 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). Expanded proximal portion of nail abuts and works as TSP and prevents medialisation • 3. DHS surgery took more duration as compared to PFN. . Excellent work! Our writers have a lot of experience with Pfn Vs Dhs Thesis academic papers and know how to write them without plagiarism. Enjoy unlimited free Pfn Vs Dhs Thesis revisions for 2 weeks after you’ve received your paper. The following analysis also included 8 patients with PIF who were referred from other hospitals, resulting in a total of 26 patients. 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. Pfn Vs Dhs Thesis, how to close a grad school essay, the properwas to start an scholarship essay, essays on irony in brave new world. difference between PFN and DHS fixation in treatment of in-tertrochanteric fractures. Dynamic distal locking done will lead to axial nail subsidence and works as Medoff plate • 4. Pfn Vs Dhs Thesis, resume writing services springfield mo, how to interview someone for an essay, trite college essay topics. Google Scholar, Parker MJ, Pryor GA (1996) Gamma versus DHS nailing for extracapsular femoral fractures. Self-tapping 11.0mm Femoral Neck Screw • Anatomical 1.5m radius (antecurvature) Anatomical 10° anteversion. Total duration of surgery was significantly lower for PFN than it was for DHS. Group 1: 86 hips treated with DHS and group 2: 98 hips treated with PFN. of radiation exposure intra-operatively. The outcome for each group was analyzed, and total operative time, time to union, complications (early and late), and mortality were recorded. 3. DISCLAIMER. All papers from this agency should be properly referenced. Best viewed through Internet Explorer 9.x or higher, Mozilla Firefox® 16.x or higher, Safari 5.1 or higher, Chrome 23 or higher, or an equivalent browser software. 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. Thank you so much can't wait for the next assignment! 5 out of 15 patients in DHS group required blood transfusion either intra or postoperatively. Essay Writing Services We Offer. Many are downloadable. 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 - View Pfn Vs Dhs PPTs online, safely and virus-free! Comparison of PFN (Proximal femoral nail) and DHS (Dynamic hip screw) in treatment of Intertrochanteric femur fractures. Dynamic distal locking done will lead to axial … No:45, Bahçelievler-Ankara, Turkey, Orcun Sahin, Huseyin Demirors, Rahmican Akgun & Ismail Cengiz Tuncay, Department of Orthopedics and Traumatology, Diyarbakir Research Hospital, Ergani Road, 10th km, Diyarbakir, Turkey, You can also search for this author in Correspondence to Early and late complication rates between treatment groups revealed no statistically significant differences. Have your paper edited by your writer as many times as you need, until it’s perfect. 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]. Share yours for free! : a randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. This web site is best viewed on any screen size and resolution as well as any operating system that support web browsing. Sahin, O., Demirors, H., Akgun, R. et al. Butt MS, Krikler SJ, Nafie S, Ali MS, Comparison of dynamic hip screw and gamma nail:a prospective, randomized, controlled trial. 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. The fluoroscopy time in the PFN … DHS has been shown The average blood loss was 100 and 250 ml in PFN and DHS group, re-spectively. Although the effects of PFN and DHS in treatment of intertrochanteric fractures have been reported, the results and conclusions are not consistent [10–15]. Essays . , = 0.15 ). intra-operative complications. proximal femoral nail antirotation 2 (PFN-A2). Fig 1: Intraoperative methods: PFN/DHS RESULTS The average age of patients in our study was 58 years (32-81years) with female predominance (70%), unstable fractures 62% right side more involved with co-morbid condition 10% and commonest mode of injury due to accidental fall while doing day today activities and 5% due to motor accidents. The total numbers of patients were 90 with each group consisted of 30 patients. patient with DHS or PFN. The duration of surgery as calculated from the time of incision to skin closure was counted in each case. Mean patient age was 84.8 years (range, 57–95), with a predominance in female (23×) and in the left femur (19×). Saudan and colleagues40 found that there was no significant difference between the operative times in the two groups in their series. 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. Bhatti et al. Our writers have a lot of experience with Pfn Vs Dhs Thesis academic papers and know how to write them without plagiarism. 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. Discipline: Finance . DHS PFN Graph 2. 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. Methods. DHS vs PFN ... proximal femoral nail.. in treatment of unstable trochantric fractures ..... which should be used Learn new and interesting things. October. 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. 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. 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). functional and radiological outcome of PFN with DHS in treatment of Type II intertrochanteric fractures. Eur J Orthop Surg Traumatol 22, 473–480 (2012). Tax calculation will be finalised during checkout. The typical quantity of bloodstream loss was 208.7 ml for PFN procedure and 483.33 ml for DHS procedure. 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. 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. Methods: From October 2012 to March 2015, a prospective comparative study was done where 30 alternative cases of type II intertrochanteric fractures of hip were operated using PFN or DHS. 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. The results were statistically compared. Pfn Vs Dhs Thesis, why boston univiversity reddit essays, social science research proposal, problem solving homework When compared to a column screw, use of the helical blade results in increased contact surface area between the device … Google Scholar, Mehta M, Strube P, Peters A, Perka C, Hutmacher D, Fratzl P, Duda GN (2010) Influences of age and mechanical stability on volume, microstructure, and mineralization of the fracture callus during bone healing: is osteoclast activity the key to age-related impaired healing? Place an … CAS  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). Springer, Berlin, Vidyadhara S, Rao SK (2007) One and two femoral neck screws with intramedullary nails for unstable trochanteric fractures of femur in the elderly—randomised clinical trial. Screw slides in Nail like DHS • 2. Already has a built in derotational screw • 2. Blood loss and transfusion during perioperative time were also comparable between the two xations ( % CI: . Pfn Vs Dhs Thesis, similarity and difference essay examples, executive cv writing services south africa, how to choose a topic for a creative nonfiction essay. 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. 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. https://doi.org/10.1007/s00590-011-0873-z. Conclusion: We conclude that the proximal femoral nail antirotation 2 (PFN … Immediate online access to all issues from 2019. Dissertations . J Orthop Trauma 15:394–400, PubMed  Pfn Vs Dhs Thesis revisions. Final decision depends on operative surgeon’s preference to specific technique. theadager. We offer homework writing services with you in mind. Place an Order Now. Int Orthop 34:323–328, Fogagnolo F, Kfuri M Jr, Paccola CA (2004) Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail. This is explained in the fact that intertrochanteric fracture occurs in elderly patient. © 2020 - All Rights Reserved | Version 20.02.01, Associate Professor, D Y Patel Hospital and Medical College, Department of Orthopaedic, Pimpri, Pune, India, Assistant Professor, D Y Patel Hospital and Medical College, Department of Orthopaedic, Pimpri, Pune, India, Senior Consultant and Orthopaedic Surgeon at Sadaria Orthopaedic Hospital, Surat, Gujarat, India, Resident at D Y Patel Hospital and Medical College, Department of Orthopedic, Pimpri, Pune, Maharashtra, India, Proximal femoral Nail, Dynamic hip screw, Intertrochanteric femur fracture, Surgical Review: International Journal of Surgery, Trauma and Orthopedics, https://doi.org/10.17511/ijoso.2018.i01.07, Demographic study of hemorrhoid with analysis of risk factors, Comparison of PFN (Proximal femoral nail) and DHS (Dynamic hip screw) in treatment of Intertrochanteric femur fractures, A Comparative study of efficacy of Thiocolchicoside with Diclofenac vs Eperisone with Diclofenac in patients with back pain, Rational use of antibiotics and its guidelines in surgical patients-a retropspective study, A comparative study between plating & intramedullary nailing for displaced diaphyseal fractures of radius and ulna in adults. 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.
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