A prospective study to evaluate the functional outcome of sub-trochanteric femur fractures with long proximal femoral nail
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Sub-trochanteric fractures of the femur remains one of the most challenging fractures faced by orthopaedic surgeons. This study was done to analyse the functional outcome of management and complications of sub-trochanteric fractures using long proximal femoral nail. Materials and Methods: This was a prospective study of 25 patients with sub-trochanteric fractures of femur who were treated with long PFN at a tertiary care center from May 2016 to July 2018. The fractures were classified according to Seinsheimer classification. All patients were assessed functionally by Harris Hip Score. Results: Average duration of union was 17.08 weeks (range 13 to 32 weeks), union was achieved in 92% cases. Closed reduction was achieved in 68% cases and open reduction was required in 32% cases. Various intraoperative complications were seen in 12% and delayed complications in 26% of cases. Good anatomical results were achieved in 86% of cases and 14% were fair. As per Harris Hip score, excellent results were noted in 28% cases, good in 56% cases and fair in 16% cases. Conclusion: The long PFN is a reliable implant for subtrochanteric femur fractures, with high rate of bone union and minimal soft tissue damage. Intramedullary fixation has biological and biomechanical advantages, but the surgery is technically demanding.
Authors and Affiliations
Akilan C, Neela Krishnan R, Barathiselvan V, Anush Roa P
Keywords
Related Articles
- EP ID EP487656
- DOI 10.22271/ortho.2018.v4.i3h.79
- Views 98
- Downloads 0
Influence of meniscal repair versus meniscectomy on ACL reconstruction in terms of knee stability and radiological imaging
Objective: To compare effect of meniscus repair and meniscectomy in patients undergoing ACL reconstruction in terms of clinical instability and radiological tunnel widening 1 year after surgery. Introduction: Meniscectom...
Comparative analysis of functional outcome of midshaft clavicular fractures treated by nonoperative method and elastic nailing
Introduction: Till the end of nineteenth century, the clavicle fractures were managed conservatively. Recent studies have showed that there is a higher rate of nonunion and alteration of shoulder biomechanics in subgroup...
Comparison of proximal femur locking compression plate and proximal femur nail in treatment of complex proximal femoral fractures
Background: Proximal femur fractures are common injuries that mostly affect the elderly population. In young and healthy individuals, the injury results from high energy trauma, whereas these fractures are common in the...
Result of intramedullary interlock nailing in fracture proximal third tibia in rural hospital
Aim: Tibia is one of the most commonly fractured bone. Proximal third tibial fracture account for 5% to 11% of tibial shaft fracture. Treatment of proximal third fracture tibia is complex and problematic. Techniques incl...
Prospective study of correlation of pain and radiological feature of OA knee
Aim of study was to assess the relationship between disability and defining features of osteoarthritis knee (Radiological findings and pain) To identify predictors of disability in patients where radiological evidence of...