Clinical study of outcome of unstable intertrochanteric fracture treated by proximal femoral nail: A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: The AO/ASIF proximal femoral nail (PFN) is a new device designed for the treatment of the unstable intertrochanteric femoral fracture. The purpose of this study to find the outcome of such fractures treated by PFN at Silchar medical college in north-eastern part of India. Materials & Methods: From july 2015 to june 2016, we included 41 patients (21 female and 20 male) who were operated with the PFN for unstable intertrochanteric hip fractures. Intra-operative and post-operative complications were noted.Functional outcome were assessed by Harris hip score and radiologically union were assessed at 3, 6 and 12 months. Results: Majority of the cases i.e.16 (39%) were in the age group of 61-80 years with average age of 61.9 years.The mean interval between trauma and surgery was 7.43 day. Most common mode of injury is simple fall (73%).Closed reduction was achieved in 38 patients. Postoperative reduction were good in 28 (68.3%) of cases, acceptable in 9 (21.9%) and poor in 04 (9.8%) cases. We found 13 cases (31.7%) of intra-operative complication. We found 6 cases of post-operative complications in which one case of early complication (superficial wound infection) and 5 cases of late complication secondary varus malunion, shortening >2cm, one case of delayed union and one case of reverse z effect. We did not encountered any case of implant failure or avascular necrosis of femoral head. All the patient shows radiological union in our study with mean time of union was 18.02 weeks (12-32 weeks). According to Harris hip score, we had excellent results in 29.27%, good result in 43.90%, fair result in 24.39% and poor result in 2.44% of cases. Conclusions: PFN is a very good choice of implant for unstable intertrochanteric fracture in respect of minimal blood loss, less soft tissue injury, early weight bearing, few complications and with good functional outcome.
Authors and Affiliations
Dr A Dhar, Dr Abhinit K Sinha, Dr AK Daolagupu, Dr Ashwani Mudgil
Keywords
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- EP ID EP498279
- DOI 10.22271/ortho.2017.v3.i3e.54
- Views 114
- Downloads 0
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