Analysis of outcome of unstable intertrochanteric fractures treated by proximal femoral nail- A prospective and retrospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Background: An analytical study was conducted on the outcome of unstable Intertrochanteric fractures treated by conventional proximal femoral nailing in a prospective and retrospective method. Materials and methods: During our study period, 130 patients, both males and females, aged between 50 years and 100 years who were suffering from unstable intertrochanteric fracture and who were treated with Proximal femoral Nailing were included in the study. Both prospective and retrospective studies were conducted to evaluate clinical and functional outcome of 130 patients. Modified Harris Hip score was used to evaluate clinical and functional outcome. Radiological assessment with hip anteroposterior and lateral views were taken.quality of reduction, malialignments, screw cut outs, bony union and implant related complications were noted. Results: In our study majority of the cases about 60% were in the age group of 61 to 80 years among the study group of 50 to 100 years. Females were slightly more affected (52.35%) as compared to males (47.65%).Average time for radiological union was about 16 weeks. Among 130 of our patients 1 cased died on 3rd posteoperative day for reason unrelated to the surgery. So Harris Hip Score was calculated for 129 patients. We had 53.9% of excellent and 36.1% of good results which together accounted to about 90% of the cases Conclusion: Based on our experience and results we conclude that proximal femoral nailing is an excellent judicious and rational method of fixation for unstable intertrochanteric fractures in elderly patients.
Authors and Affiliations
Dr. Madhuchandra P, Dr. Shrinidhi IS
Keywords
Related Articles
- EP ID EP482526
- DOI 10.22271/ortho.2017.v3.i4h.77
- Views 139
- Downloads 0
Functional outcome of bony PCL avulsions fixed with Mini open technique
Introduction: To evaluate the functional outcome in bony Posterior Cruciate Ligament (PCL) avulsion fractures treated with open reduction and internal fixation through Mini open technique. The approach is safe, and simpl...
Non-metallic fixation of patella fractures using high resistance suture materials
Introduction: Patella fractures account for 0.5% to 1.5% incidence of all bone fractures. The gold standard procedure for the patella fractures so far is AO modified anterior tension band wiring with stainless steel and...
Outcome of weaver Dunn acromio clavicular joint stabilisation
Introduction: Acromio clavicular joint injuries represent nearly half of all athletic shoulder injuries and Weaver Dunn procedure remains the most common operation at our institute Robert Jones and Agnus Hunt Hospital, f...
Magnetic resonance imaging based anthropometric study of knee joint in anterior cruciate ligament insufficient knees
Purpose: The objective of this study was to evaluate multiple morphological features on MR images in patients with ACL insufficient knees. Methods: Magnetic resonance imaging (MRI) of the knee of 40 anterior cruciate lig...
Surgical decompression of first dorsal compartment with partial one quarter resection of extensor retinaculum in de Quervain’s tenosynovitis: A short term prospective result survey
Introduction: Several operative methods have been described for de Quervain’s disease, but no definite consensus has emerged in the literature. Sometimes simple release of the extensor retinaculum can cause incomplete re...