A prospective study of intertrochanteric neck femur fractures managed with trochanteric fixation nail
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 2
Abstract
Background: The fractures of proximal femur are associated with substantial morbidity and mortality. The primary goal of intertrochanteric fracture treatment in the elderly is to restore mobility while minimizing the risk of medical complications. A number of different treatment modalities for management of these fractures have been proposed and tried with varying results. The present study was carried out to analyze the outcome and complications of intertrochanteric neck femur fractures managed with trochanteric fixation nail. Material and Methods: A total of 30 patients with intertrochanteric neck femur fractures were managed with trochanteric fixation nails. Outcome measures included the following parameters: age, gender, fracture classification, operation time, blood loss, complications, follow-up and length of stay. Results: Out of 30 cases, 9 were females and 22 were males with an average age of 61.36 years. Most common AO type was A1-2 followed by A2-2. A1 and A2 comprised 93.33% of all cases. Average intra-operative time was 53.66 minutes with average blood loss of 90 ml. Time to reach union and time required for full weight bearing were same i.e. 14.8 weeks. Shortening of limb was found to be the major complication. Discussion: TFN reduces stress concentration at the tip and the smaller distal shaft diameter may prevent femoral shaft fractures. It is a superior implant for stable and unstable intertrochanteric fractures in terms of operating time, surgical exposure, blood loss and complication rates.
Authors and Affiliations
Vilas Musale, Prashant Ghule, Shashikant Kukale
Keywords
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