Functional Outcome of Unstable Intertrochanteric Femur Fracture Patients Treated with Trochanteric Fixation Nail
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Intertrochanteric fractures are disabling injuries that most commonly affect the elderly population. These fractures have a tremendous impact on both the health-care system and society in general. These fractures can be managed by conservative methods, but mal-union and complications of prolonged immobilization are the result. Thus, surgery by internal fixation is the ideal choice. Dynamic hip screw was the gold standard treatment for intertrochanteric fractures before intramedullary devices were developed. These devices have the advantage of being an intramedullary fixation device, shorter lever arm of devices causing less tensile strain on the implant, controlled fracture impaction due to the incorporation of sliding hip screw, shorter operative duration, and less soft tissue dissection. In view of these consideration, this study of management of unstable intertrochanteric fractures using trochanteric fixation nail (TFN) is taken up to assess the outcome in terms of adequacy of fixation and results. Methods: In a retrospective controlled study, 40 patients of unstable intertrochanteric fracture were treated by TFN. Mean age group of the patient was 61.78 years. 26 cases showed union at 3 months, 13 cases showed union at 4 months, and 1 case showed union at 5 months duration. Results: Functional results were assessed in the 40 cases available for follow - up. Excellent results were noted in 10 cases, good in 27 cases, fair in 3 cases, and none had poor result. Anatomical results were assessed by presence or absence of shortening and range of movements. 37 cases had good results and 3 had poor result. Conclusion: At present, TFN is a good minimally invasive implant for unstable intertrochanteric fracture when closed reduction is possible. Technical and mechanical complications were mostly related to the operative technique and the type of fracture and pre-operative reduction of the fracture.
Authors and Affiliations
Shankar Niwas
Keywords
Related Articles
- EP ID EP531974
- DOI 10.21276/ijmrp.2018.4.3.035
- Views 77
- Downloads 0
Day Care Laparoscopic Appendectomy: A Prospective Study
Background: Laparoscopic appendectomy is now a commonly performed minimal invasive surgery. However, practice of its use as an ambulatory surgery in our hospital settings is uncommon. Objectives: The objective of this st...
Serum C-Reactive Protein in Enteric Fever in Children: A Hospital Based Study
Background: Enteric fever is endemic in various developing nations. Although the common test for diagnosis is determination of Salmonella typhi cultures. Despite of good specificity and sensitivity, the results of serolo...
Ophthalmology Resources and Services Provided in Health Ministry Hospitals at Tabuk city, Saudi Arabia
Introduction: Health care improvement has been an ongoing high priority process in Saudi Arabia. The government current expenditures on health estimated to be around 4.7% of its GDP. These efforts resulted in remarkable...
Assessment of Total Alloplastic Temporo-Mandibular Joint Replacement (TMJR) with Various Prostheses: A Comparative Study
Background: Certain TMJ conditions and pathology require reconstruction with a total joint prosthesis for predictable treatment outcomes. Hence; we planned the present study to assess patients undergoing total alloplasti...
Seminal Fluid Analysis of a Sample of Iraqi Obese Males
Introduction: Obesity a medical condition that may lead to reduced life expectancy and/or increased health problems. Obesity may impair the reproductive health of men that it can be considered as an infertility factor in...