Role of kuntscher’s nail in management of subtrochanteric fractures of femur
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Intramedullary implant is now the standard in the treatment of Subtrochanteric fractureof femur however, it is too expensive for the poor patient in developing country like India.The standard K-nail was used toprovide a cost effectivealternative to the more established but expensive implants.This study was done to evaluate the outcome of Kuntscher’s nailfor Subtrochanteric fractureof femur with regard to union, infection, limb length and range of motion. We retrospectively reviewed 55 patients with 58 Subtrochanteric fractureof femurtreated with openKuntscher’s nailing. All fractures were simple transverse, short oblique. Patients were discharged from the hospital after 14 days of surgery. Fractures healed within 14-22 weeks and the union rate was 97%. Four patients developed superficial wound infection. Range of motion at knee 100 to 135 degrees at minimum 12months follow up. Varus angulation were seen in 2 patients who had pathologicalfractures. Four patients had limited knee flexion (less than 50).One patient had bend nail because of early mobilisation. It was concluded that open Kuntscher’s nailing for Subtrochanteric fractureof femuris relevant surgery in the developing worlds with good functional and clinical results in peripheral hospitals without moderninstrumentation and image intensifier.
Authors and Affiliations
Shashi kant Suman, L B Manjhi, Raj Kumar
Keywords
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