Treatment of Stable and Unstable Intertrochanteric Fracture with Short Proximal Femoral Nail: Our Experience with 100 Patients
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Intertrochanteric fractures are very common fractures around hip in old age. About 50% of intertrochanteric fractures are unstable. With extramedullary implants like sliding hip screw giving dissatisfactory results in unstable fractures, intramedullary implants came into existence. In this prospective study, we evaluate benefits of Short Proximal Femoral Nail in the management of stable and unstable intertrochanteric fractures. Methods: Between 2015 and 2016, we treated 100 patients of stable and unstable intertrochanteric fracture with Short Proximal Femoral Nail. All patients were followed up for a minimum period of 6 months and evaluated by Kyle’s criteria. Results: 90% cases achieved anatomical reduction.16% cases had post-operative complications which included, two cases of screw back out, two cases of Z effect , two cases of varus malunion, five cases of limping while walking and eight cases of lateral thigh discomfort. Out of these only 4% cases needed re-operation. The average union time was 19.41 weeks. At end of 6 months, 92% cases had good or excellent result and 72% patients returned to their pre injury functional level. Conclusion: Short Proximal Femoral Nail provides good fixation for both stable and unstable intertrochanteric fractures, with less soft tissue trauma, early mobilisation and high union rates. It has several advantages over extramedullary implants like less operative time, less blood loss, lower chances of varus angulation even in unstable fractures, decreased rates of screw cut out and early weight bearing.
Authors and Affiliations
Kishore Raichandani, Raunak Surana, Abhinav BhardwaJ, Sanjay Garhwal, Hemant Jain, Surbhi Raichandani
Keywords
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- EP ID EP543799
- DOI 10.21276/ijmrp.2017.3.2.023
- Views 82
- Downloads 0
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