Functional Outcome of Sub- Trochantric Fracture Treated By Long PFN (Prospective Study of 50 Cases)
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 3
Abstract
Background: Fractures of the proximal femur are relatively common injuries in adults and common source of morbidity and mortality among the elderly. Fractures of the proximal femur include trochantric and subtrochantric fractures. The present study was designed to evaluate and analyze the role of proximal femoral nail (PFN) in the treatment of proximal femoral fractures. Methods: It was a prospective study on 50 cases of proximal femoral fractures. The fractures were classified according to Seinsheimer classification. Salvati and Wilson Score were used for functional assessment. Results: In this study at 6 months follow up, union was achieved in all cases, open reduction was performed in 20% of cases (10 patients). Technical and mechanical complications were noted in 22% cases (11 patients). Reoperation rate was 0% . According to Salvati and Wilson scoring system excellent results were seen in 80% of cases (40 patients), good results in 16% cases (8 patients), fair result in 4% cases (2 patients) and poor results in (0% patients ). Conclusions: It is concluded from our study that Long PFN is safe, effective and patient friendly device useful for the treatment of all subtrochanteric fractures irrespective of their comminution.
Authors and Affiliations
Dr. Rajendera Kumar
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