A Prospective Randomized Study of Patients with Unstable Intertrochanteric Fracture Femur Treated with InterTan Nailing
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Unstable intertrochanteric fractures are one of the challenging fractures to deal with. Intramedullary implants have biomechanical advantages over extramedullary ones thus avoiding adverse complications. The aim of this study was to assess the functional outcome of InterTan nailing using Kyle’s criteria. Material and Methods: 38 patients with unstable intertrochanteric fractures, were operated between December 2014 and December 2015 using the Intertan nail. The inclusion criteria were patients with >60 years of age who were pre fractured community ambulatory with unstable intertrochanteric fractures as per Evans classification system. Patients with severe medical co-morbidities and pathological fractures were excluded from the study. Results: The mean age of the patient was 77±04 years. Domestic fall was found to be the commonest mechanism of injury involving 33 (86.84%) of patients. Average duration of surgery was 58±17.4 minutes. 6 cases had post-operative abductor lurch which improved gradually. There was no case of infection encountered in the present study. There was 1 (2.6%) case with varus collapse and 1 (2.6%) case with cut out of the screw. The average time for radiological union was 16±04 weeks in majority of the cases. 32 cases had good to excellent results using the Kyle’s criteria (statistically significant P<0.002). Conclusion: InterTan provides intra-operative linear compression which improves resistance to femoral head rotation and cut outs thus converting the construct to a fixed angle device. Minimal dissection, less operative time and preservation of biomechanics are few advantages with good long term promising outcome.
Authors and Affiliations
Waybase Hanumant Ashok, Naik Lokesh Gudda, Rajiv Mario Colaco, Sharma Gaurav Mahesh
Keywords
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