IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 13, Issue 11 Ver. II (Nov. 2014), PP 22-25 www.iosrjournals.org www.iosrjournals.org 22 | Page Dynamic Hip Screw and Proximal Femoral Nailing As a Surgical Treatment of Peritrochanteric Fracture of Femur-A Comparative Study 1 Dr. Sanjeev Kumar Singh, 2 Dr. Sanjeev Kumar Hembram, 3 Dr. Anjali Singh, 4 Dr Prof. Subrata Nag 1 Assistant Professor,Orthopedics, Narayan Medical College,Sasaram,Bihar, 2 Senior Resident,Orthopedics,NMCH ,Sasaram, Dr. NIPENDRA KISHORESenior Resident,NMCH, 3 Senior Resident,Pediatrics dept.NMCH. 4 HOD Anesthesiology,NMCH. I. Introduction Fractures of limb especially the lower limb bring tough time not only for the patient but for the entire family owing to prolong immobilization and disability. Early restoration of joints motion with a stable fixation of fracture, return to normal physiological function and minimal morbidity is now regarded as ideal fracture treatment Peritrochanteric/intertrochanteric fractures are of intense interest globally. Peritrochanteric area includes part of femur from extracpasular part of neck to a point 5cm. distal to lesser trochanter. It can be divided in to Intertrochanteric Area between greater and lesser trochanter of femur and subtrochanteric area 5 cm. below lesser trochanter. Being a transition zone between neck and shaft of femur and cancellous bone, this area has different fracture characteristic. Weight bearing is also unequally distributed throughout this area. Medial comminution influence influences the fracture stability and treatment outcome. Peritrochanteric fracture can be stable or unstable depending on integrity of posteromedial cortex and pattern of fracture. Evans in 1949 described about stability of Peritrochanteric fracture, according to him in stable fracture posteromedial cortex remains intact or has minimal comminution. Unstable fracture on other hand has greater comminution of posteromedial cortex. Although they are inherently unstable these fracture can be converted in to a stable reduction if medial cortex apposition is obtained. Reverse oblique pattern of fracture is also unstable type of fracture. II. Aims And Objective Aim: The main aim is to obtain union of fracture in most anatomical position compatible with maximal functional return of the extremity, decrease the mortality, reduce the duration of hospital stay, mobilize the patient early and to prevent bed ridden complications. Objective: Compare the result of dynamic hip screw and Proximal Femoral Nailing as a surgical treatment of peritrochanteric fracture of femur. To study the outcome of the procedure, with respect to early mobilization and return to prefracture ambulatory status. Assessment of results based on subjective parameters (like pain, ability to squat or sit cross legged and walking), objective parameters (like deformity, range of movements of the hip and limb length) and radiological findings (like fracture union, consolidation, neck shaft angle and position of the implant), after clinical and radiological union, and comparison with previous studies. III. Material & Methods Source Of Data: The material for the present study was obtained from the patients admitted in Katihar Medical College, Katihar, with the diagnosis of peritrochanteric fracture femur.. The patients were randomly selected on first come and first inclusion basis. The patients admitted were taken for prospective study. A minimum of 30 cases were taken and the patients were informed about the study in all respects and informed consent was obtained from each patient.