A study of results of long closed proximal femoral nailing in complex proximal femoral fractures
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 1
Abstract
Introduction: Fractures of the proximal femur are a big challenge in traumatology. Patients Of all age groups are affected, but the group belonging to the 5th – 7th decades of life is involved the most. The complex proximal femoral fractures are - difficult to treat. Various studies shows that Dynamic Hip Screw (D.H.S.) has documented problems in the form of failure of implant & mal union (coxa vara) in the treatment of complex proximal femoral fracture. So, the chase to have least problem in the treatment, proximal femoral nail (sirus type) has emerged as a perfect solution for complex proximal femoral fractures. The goal is to achieve union of the fracture both clinically & radiologically so as to return to the maximal functional range of the hip as early as possible. Aim: To study the results of proximal femoral nail (sirus) in the treatment of complex proximal femoral fracture with respect to clinical and radiological union of the fracture and final ambulatory status of the patients assessed by hip scoring system and complications and failure rate. Materials and methods: 50 patients from the Orthopaedics OPD, having complex proximal femoral fracture (according to AO classification type 31A2 & 31A3) were included in the study. Patients were treated by Intramedullary fixation with proximal femoral nail (sirus). Final ambulatory status of the patients assessed by hip scoring system and complications and failure rate. We used Salvati and Wilson hip scoring system to assess the results. Results and Discussion: Finally, to assess the outcome of the whole study, we have used the Salvati and Wilson Hip scoring system. The Salvati and Wilson Hip score was >20 in 92% of the patients in present study and in 78% of patients in AL-YASARI study.70% patients had an excellent results, 22% patients had good results, 4% each had a poor or fair results in present study. Conclusion: From the resent study, we concluded that Proximal femoral nail (Sirus) can be considered as the implant of choice for treatment of Proximal Femoral fractures due to various advantages.
Authors and Affiliations
Dr. Vishal Mehta, Dr. Narendra Mishra, Dr. Prerak Yadav
Keywords
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