Randomised comparative study in management of unstable intertrochanteric fracture with PFN V/S PFN A2 - functional and radiological out-come
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
A prospective, randomized, comparative study, this study was conducted in Institute Of Orthopaedic Research and Accident Surgery (IORAS) Devadoss Multispeciality Hospital, Madurai, Tamil Nadu. Study period of Two years from April 2016 – May 2017. Since this fracture is more common in the elderly patients, the aim of treatment is prevention of mal union and early mobilization, taking all the factors into consideration surgery by internal fixation of the fracture is ideal choice. A wide modalities of internal fixation are available for the management of these fractures, most commonly used implant is dynamic hip screw(DHS) with side plate, this is a controlled collapsible fixation device, unstable intertrochantric fracture are difficult to treat, so intramedullary devices such as proximal femoral nail(PFN) are biomechanically stronger and more rigid compared to extramedullary devices such as DHS, PFN also has showed more number of post operative complications like implant failure, screw cutout in case of unstable intertrochantric fractures, to improvise in 2009 AO/ASIF introduced Proximal femoral nail antirotation (PFN A2) which claimed better rotation and angular stability with helical blade and better functional outcome in treating unstable intertrochantric fractures when compared to PFN. So to evaluate and compare functional and radiological outcome of the patients having unstable intertrochantric fractures treated by two different methods of fixation with PFN and PFNA2. This study is taken up to find out the efficacy of newer implant PFN A2 over PFN.
Authors and Affiliations
Dr. Gururagavendra. P, Dr. Sathish Devadoss, Dr. Jayakumar S, Prof. A. Devadoss
Keywords
Related Articles
- EP ID EP488210
- DOI 10.22271/ortho.2018.v4.i4l.112
- Views 155
- Downloads 0
Clinical outcomes of treatment of benign cystic lesions of proximal femur with non-vascularized autologous fibular strut graft and supplementary fixation with cannulated cancellous screw
The aim of the study was to evaluate results of benign cystic lesions of proximal femur treated by non vascularized autologous fibular strut graft and supplementary fixation using cannulated cancellous screw. Non vascula...
Clinical profile of patients with unstable distal radius fracture
There are increasing reports of distal radius fractures suggesting that they are frequently articular injuries resulting in disruption of both radio carpal and radio ulnar joints and profoundly affecting the wrist of gre...
Prospective study of 30-cases of fracture distal third femur managed by retrograde distal femoral intramedullary nail
Background and objectives: Fracture of distal third of femur is encountered because these fractures most often result from high velocity injuries as femur is the largest bone of the body. It is one of the principal load...
Functional outcome of high tibial osteotomy among patients with osteoarthritis
Introduction: Osteoarthritis of knee is more common among all types of arthritic conditions. High tibial osteotomy is an accepted surgical technique for treatment of medial compartment arthrosis of knee in younger patien...
Management of comminuted fracture of radial head by radial head excision and anconeus arthroplasty
Background: Fracture and dislocation of radial head commonly occur secondary to trauma, usually from fall on the outstretched hand. These fractures are notorious for development of complications which include stiffness,...