Treatment Of Subtrochanteric Femur Fractures With Proximal Femoral Nails: A Prospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Introduction: The subtrochanteric fracture of the femur remains a challenging injury for the orthopaedic surgeon. In this study we observed outcome of closed reduction and internal fixation with proximal femoral nail for subtrochanteric femur fracture in 30 patients in age group of 20 years and above. Objective: To study the outcome of the treatment of subtrochanteric femur fracture with proximal femoral nail. Material and methods: 30 patients of age group 20 years and above having subtrochanteric femur fracture, admitted and treated with closed reduction and internal fixation with proximal femoral nail from December 2014 to November 2015 were enrolled for this study and followed up for a minimum period of 12 weeks. The patients were assessed and graded for clinical outcome, limb length discrepancy and range of movement at hip and knee joint according to Modified Harris Hip Score. Result: All cases showed union. Mean union rate was 14.7 weeks. Superficial wound infection was seen in 1 patient which resolved with regular dressing and antibiotics. Mean range of hip flexion was 126.6º and extension was 14.3º. Mean abduction and adduction was 28.6 º and 25.3º respectively. Mean internal and external rotation were 29.2º and 34.33 º respectively. Mean range of knee flexion was 119.16º.Shortening was seen in three patients, out of which one patient had shortening of 2 cms shortening and two patients had shortening of less than 2 cms. No morality, fat embolism or non-union was reported in our series. Overall 70% excellent and 30% good results were achieved with no poor result.
Authors and Affiliations
Ravindra S Patil, Dhanish V Mahendrita, Sahil Bhagat, Rishi Doshi, Bajrang Singh, Keyur R Patel
Keywords
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