A Study On Surgical Management Of Unstable Intertrochanteric Fractures Using Proximal Femoral Nail
Journal Title: BMH Medical Journal - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Fractures around the trochanteric area of the femur are among the most frequent fractures encountered in orthopaedics and also among the most distressing injuries of the elderly. A burgeoning population and increased life expectancy have resulted in a rise in these types of fractures. Several implants have been designed for the treatment of these fractures. In this study we analyze the functional and radiological outcome of unstable inter-trochanteric fractures fixed with proximal femoral nail. Methods: This is a prospective study. 30 patients with inter-trochanteric fractures treated by proximal femoral nail from December 2015 to December 2017 were included in the study. We analyzed these 30 patients for functional and radiological out come and complications. The criteria for the assessment of efficiency of surgical technique included duration of surgery, number of intra-operative complications, blood loss and radiographic screening time. Clinical assessment includes post operative walking ability, hip and knee function, fracture union time, and implant bone interaction by Hips Harris Score. Results: The fracture union rate was 86.6 % and the average union time was 13.5 weeks. According to Hip Harris Score (Modified), over all 7 % of patients had outstanding results, 47 % of patients had good results, 33 % of patients had fair results and only 4 cases i.e., 13 % of patients had poor results. Conclusion: The result of our study shows that proximal femoral nail is an effective device for the fixation of inter-trochanteric fractures of femur with good functional and radiological outcome. We conclude that the PFN is a highly accepted minimally invasive implant for unstable proximal femoral fractures but future modification of the implant to avoid Z-effect phenomenon, careful surgical technique and selection of the patients should further reduce its complication rate.
Authors and Affiliations
CV Mudgal, R Madhuchandra, Dhanoop Dhananjayan
Keywords
Related Articles
- EP ID EP316634
- DOI -
- Views 140
- Downloads 0
Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 11th Edition
This is the 11th edition of the textbook, Heart Disease: A textbook of cardiovascular medicine. As with each edition of this reference work, international experts have totally revised every chapter. In addition, multipl...
Emotional Problems in Adolescents with Congenital Heart Diseases
Chronic diseases of childhood and the associated emotional problems are receiving major attention in the current pediatric practice. Adolescents with congenital heart diseases have significantly higher emotional problems...
The Use of Intravitreal Aflibercept in the Treatment of Wet Type of Age Related Macular Degeneration
Aflibercept, an anti vascular endothelial growth factor (anti-VEGF) which was originally developed in the treatment of large bowel cancers, has been found to be effective in the treatment of wet type of age related macul...
Non-Tuberculous Mycobacterial Spondylodiscitis In A Post Discectomy Immunocompetent Patient - A Case Report And Review Of Literature
Infection with atypical mycobacteria are predominantly seen in immunocompromised patients. In the absence of evidence of person to person transmission it was proposed that humans were infected from environmental sources...
Unilateral Hemispheric Encephalitis
A 10 year old boy presented with history of mild fever and upper respiratory symptoms followed by recurrent seizures and loss of consciousness on the next day. Normal blood counts and abnormal hepatic transaminases were...