Meta Analysis
Year: 2022 | Month: May | Volume: 12 | Issue: 5 | Pages: 300-306
DOI: https://doi.org/10.52403/ijhsr.20220531
Functional Outcome and Revision Rate of Proximal Femoral Nail Antirotation (PFNA) versus Dynamic Hip Screw (DHS) for Type A1 Intertrochanteric Femoral Fracture: A Systematic Review and Meta Analysis
Cokorda Gde Oka Dharmayuda1, I Made Arya Susila2, Gede Aditya Krisna2
1Department of Orthopaedic & Traumatology, Sanglah General Hospital, Faculty of Medicine, Udayana University, Bali;
2Resident of Orthopaedic & Traumatology, Sanglah General Hospital, Faculty of Medicine, Udayana University, Bali
Corresponding Author: Cokorda Gde Oka Dharmayuda
ABSTRACT
Introduction: Intertrochanteric fractures (IFF) are difficult for orthopedic surgeons to treat. Only a few studies have looked specifically at the treatment of stable trochanteric fractures, and the majority of them found no differences in implant failure or reoperation rates between the PFNA and the DHS. The goal of this study is to examine the functional outcomes and revision rates of these two operations for Type A1 Intertrochanteric Femoral Fracture
Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria were used to perform the systematic review. All statistical analyses were performed using the Review Manager version 5.3 software. We used PubMed, Google Scholar, and the Cochrane Library to conduct our research
Results: From multiple databases, the electronic search yielded 147 records. Four Studies were included in our study. ROM Outcome was measured using Harris Hip Score (HHS). No significant difference between PFNA and DHS in HHS (Heterogeneity, I2 = 99 percent; WMD, -1.02; 95 percent Confidence Interval (CI), -6.72 to 4.69; P=0.73). Rate of revision also found no significant difference between the two groups (Heterogeneity, I2=57 percent; WMD, 1.37; 95 percent Confidence Interval (CI), 0.40 to 4.69; P = 0.61).
Conclusion: PFNA and DHS are both viable options in the treatment of stable intertrochanter femur fractures, as both treatments have a similar 1-year functional outcome.
Key words: PFNA, DHS, Type A1 Intertrochanteric Femoral Fracture.