Comprehensive Study Of Intertrochanteric Fracture Management Using Proximal Femoral Nailing
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Intertrochanteric fractures are the most common fractures seen in the elderly age group. Considering the increase in life expectancy and relative increase in geriatric age group, volume of these fractures has also increased. Early restoration of ambulation is the key in the management of such patients. Unstable fractures pose significant challenge as most of these patients are osteoporotic. Aim of this study was to evaluate the efficiency of proximal femoral nail (PFN) in the management of intertrochanteric and peritrochanteric fractures by preventing varus collapse and early restoration of ambulation. Methodology: A prospective study of intertrochanteric and peritrochanteric fracture management using PFN was conducted. A total of 50 patients above the age of 60 were evaluated. Few improvisations were made to manage unstable intertrochanteric fractures in addition to conventional surgical technique. Functional outcome was assessed using Harris hip score. Results: All patients were successfully treated with PFN. These patients had minimal blood loss, minimum need of post operative analgesia and minimum hospital stay. 92 percent of our patients had excellent scoring by 6 months. Conclusion: Our study revealed that proximal femoral nail is far superior implant in the management of all types of peritrochanteric fractures. PFN being a weight sharing implant provides better stability of the fracture there by helps in early ambulation of elderly patients. Improvisation in surgical techniques makes PFN superior in the management of unstable intertrochanteric fractures.
Authors and Affiliations
Shailesh Kumar KN, Imthiaz Ahmed, Karen MAria D’sa
Keywords
Related Articles
- EP ID EP393624
- DOI -
- Views 187
- Downloads 0
A Study Of Functional Outcome Of Surgical Management Of Floating Knee Among Adults
Background: ‘Floating knee injury’ is a term used to denote ipsilateral femoral and tibial metaphyseal injuries. However, recently termhas been expanded to include most ipsilateral fractures of the femur and tibia. There...
Surgical Reconstruction Of Non Union Patella And Neglected Patellar Tendon Rupture With Semitendinosus Graft – A Prospective Study
Background: Non-union of patella and neglected patellar tendon rupture cause significant disability due to disruption in extensor mechanism of knee. Reconstruction attempted months or years later is prone to unsatisfac...
Immediate Versus Delayed Hip Spica For Pediatric Shaft Femur Fractures- A NonRandomised Clinical Trial
Context: Multiple treatment options are available for pediatric femoral shaft fractures. For age of 1- 6 years, treatment is either by immediate hip spica or traction followed by delayed hip spica application. Aims: To c...
Efficacy of elastic stable intramedullary nailing (esin) v/s submuscular plating in paediatric femoral diaphyseal fractures
Diaphyseal femur fractures account for 1.7%1of all paediatric fractures. Common options for surgical stabilization include open or sub muscular plate fixation, flexible intra medullary nailing Plate fixation is stable an...
Assessment And Evaluation Of Patellofemoral Instability On Magnetic Resonance Imaging
Background: Patellofemoral instability is a common clinical problem. Risk factors predisposing to patellar dislocation include ligamentous laxity, femoral or tibialmalrotation, patella alta or femoral trochlear dysplasia...