@article{article_451668, title={Comparison of dynamic hip screw and proximal femoral nail in intertrochanteric femur fractures and cost analysis}, journal={Pamukkale Medical Journal}, volume={11}, pages={287–292}, year={2018}, DOI={10.31362/patd.451668}, author={Başkan, Mehmet Veysel and Yörükoğlu, Ali Çağdaş and Aydemir, Ahmet Nadir and Buker, Nihal and Ök, Nusret and Demirkan, Ahmet Fahir}, keywords={intertrokanterik, dinamik kalça vidası, proksimal femoral çivi}, abstract={<p>INTRODUCTION: The study was planned to compare the results of dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) applications to femur intertrochanteric fractures and to implement a cost analysis. <br />METHODS: A retrospective evaluaton was made of 75 patients who were treated for intertrochanteric femur fracture between May 2009 and December 2012. Evaluation was made of differences between the groups in reduction quality, mean duration of hospitalization, complication rates, functional outcomes and treatment costs. <br />RESULTS: Thirty patients were treated with DHS and forty five patients with PFNA. The average follow-up period was 21.5 (12-49) months. Functional outcomes were similar, with no significant difference between the groups. Length of hospital stay was shorter in the PFNA group, the treatment and care costs were lower compared to the DHS group. <br />DISCUSSION AND CONCLUSION: Although PFNA is a much more expensive implant than DHS, there is no significant difference between total hospital costs. Nevertheless, as DHS has similar functional results, it is still a preferrable treatment method for intertrochanteric femur fractures. <br /> </p>}, number={3}, publisher={Pamukkale Üniversitesi}