A Prospective, Randomized Controlled Trial Comparing the Use of the Proximal Femoral Nail – Antirotation and Dynamic Hip Screw for Stable Intertrochanteric Femur Fractures - Stable Trochanteric Fractures Intramedullary Versus Extramedullary (STRIVE) Study
Applied/Translational Research
Singapore Health Biomedical Congress
National Healthcare Group
31 December 2022
To compare PFNA II and DHS in treating stable intertrochanteric femur fractures, focusing on clinical, radiological, and. DHS is a cost-effective alternative for stable IT fractures with comparable outcomes to PFNA II.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Applied/Translational Research, Quantitative Research
About this Content
Aims
To compare PFNA II and DHS in treating stable intertrochanteric femur fractures, focusing on clinical, radiological, and functional outcomes.
Background
Stable IT fractures are common and associated with significant morbidity and mortality. Optimal implant choice remains debated.
Methods
Single-blinded RCT with 12-month follow-up comparing PFNA II and DHS for stable IT fractures. Standardized post-op rehabilitation included.
Results
Both implants showed similar outcomes in blood loss, operative time, radiological parameters, and functional scores. DHS recommended for cost-effectiveness.
Conclusion
DHS is a cost-effective alternative for stable IT fractures with comparable outcomes to PFNA II.
Lessons Learnt
DHS provides equivalent outcomes to PFNA II with cost savings, suitable for stable IT fractures.
Additional Information
SHBC 2022: Singapore Clinician Investigator Award (Oral category) – Bronze Award
Keywords
Stable Intertrochanteric Hip Fracture, Proximal Femoral Nail, Dynamic Hip Screw
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital, Woodlands Health Campus |
Platform(s) | Singapore Health Biomedical Congress |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Orthopaedics, Clinical Research |
Project Lead(s) | Yeo Quan You |
Project Member(s) | Mark Tan |
Connect with this contributor!
Yeo Quan You - Quan_You_YEO@wh.com.sg