Gera, MohitBhullar, Parminderjeet SinghRai, BasantBansal, DixitBandyopadhyay, SombitPaul, Aarush2023-07-212023-07-212022-12Gera Mohit, Bhullar Parminderjeet Singh, Rai Basant, Bansal Dixit, Bandyopadhyay Sombit, Paul Aarush. Comparitive Analysis of Outcome of Proximal Femoral Nail Antirotation II (PFNA-II) and Dynamic Hip Screw (DHS) in the Management of Intertrochanteric Fractures of Femur. Annals of International Medical and Dental Research. 2022 Dec; 8(6): 1-62395-28222395-2814http://imsear.searo.who.int/handle/123456789/220060Background: To compare the clinical and radiological outcomes of patients with intertrochanteric fractures treated with PFNA-II versus DHS. Material & Methods:50 adult patients with inter-trochanteric fractures, >20 years old, were randomly distributed into the PFNA-II and DHS groups. DHS with side-plate and proximal femoral nail A-II of appropriate size was used. The patients were regularly followed up till 1 year post-operatively. The clinical, radiological and functional evaluations were done at regular intervals. The peri-operative, early and delayed complications were recorded, and the final outcome of either group was evaluated using the Harris Hip Score. Results:In the DHS group, the mean Harris Hip Score was slightly lower than that of the PFNA-II group at six month follow-up. However, at the 1 year follow-up, both the groups achieved similar Harris Hip Scores. Conclusion:PFNA-II provides a significantly shorter operative time with a smaller incision that leads to lesser blood loss and wound-related complications. However, the incidence of procedural errors was significantly higher in PFNA-II when compared with DHS as it is a technically more demanding procedure that leads to more implant failures and consequent re-operations.Intertrochanteric FracturesProximal Femoral Nail A-II(PFNA-II)Dynamic Hip Screw(DHS)Harris Hip Score(HHS).Journal ArticleIndiaSenior Resident, Department of Orthopaedics, Government Medical College & Hospital, Amritsar, Punjab, India. Email: mohit_gera2001@yahoo.com, Orcid ID: 0000-0001-8321-5450Senior Resident, Department of Orthopaedics, Government Medical College & Hospital, Amritsar, Punjab, India. Email: bhullarparminder1@gmail.com, Orcid ID : 0000-0002-9827-4741Associate professor, Department of Orthopaedics, Government Medical College & Hospital, Amritsar, Punjab, India. Email: drbasantrai@gmail.com, Orcid ID : 0000-0002-7927-2396Junior Resident, Department of Orthopaedics, Government Medical College & Hospital, Amritsar, Punjab, India. Email: dixitbansal66@gmail.com, Orcid ID: 0000-0001-7522-8366Junior Resident, Department of Orthopaedics, Government Medical College & Hospital, Amritsar, Punjab, India. Email: dr.sombitbandyopadhyay@gmail.com, Orcid ID: 0000-0002-5322-2358Junior Resident, Department of Orthopaedics, Government Medical College & Hospital, Amritsar, Punjab, India. Email: aarushpaul858@gmail.com, Orcid ID : 0000-0003-1340-5368