Analysis of outcome of unstable intertrochanteric fractures treated by proximal femoral nail- A prospective and retrospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Background: An analytical study was conducted on the outcome of unstable Intertrochanteric fractures treated by conventional proximal femoral nailing in a prospective and retrospective method. Materials and methods: During our study period, 130 patients, both males and females, aged between 50 years and 100 years who were suffering from unstable intertrochanteric fracture and who were treated with Proximal femoral Nailing were included in the study. Both prospective and retrospective studies were conducted to evaluate clinical and functional outcome of 130 patients. Modified Harris Hip score was used to evaluate clinical and functional outcome. Radiological assessment with hip anteroposterior and lateral views were taken.quality of reduction, malialignments, screw cut outs, bony union and implant related complications were noted. Results: In our study majority of the cases about 60% were in the age group of 61 to 80 years among the study group of 50 to 100 years. Females were slightly more affected (52.35%) as compared to males (47.65%).Average time for radiological union was about 16 weeks. Among 130 of our patients 1 cased died on 3rd posteoperative day for reason unrelated to the surgery. So Harris Hip Score was calculated for 129 patients. We had 53.9% of excellent and 36.1% of good results which together accounted to about 90% of the cases Conclusion: Based on our experience and results we conclude that proximal femoral nailing is an excellent judicious and rational method of fixation for unstable intertrochanteric fractures in elderly patients.
Authors and Affiliations
Dr. Madhuchandra P, Dr. Shrinidhi IS
Keywords
Related Articles
- EP ID EP482526
- DOI 10.22271/ortho.2017.v3.i4h.77
- Views 150
- Downloads 0
Radiological assessment of inter-prosthetic joint movement in bipolar hip hemiarthroplasty for fracture neck of femur
Introduction: Fracture neck of femur has been recognised since the time of Hippocrates and is a common orthopaedic problem in old age and they have a tremendous impact on both the health care system. Despite marked impro...
Functional outcome of patients treated with proximal femoral nail for unstable trochanteric fractures
Introduction: Proximal Femoral Nail has become a popular method of stabilization of unstable trochanteric fracture in adults. The aim of our study was to assess functional outcome, radiological result and complications i...
FRAX predictior with and without BMD for assessment of osteoporotic fracture risk in the Himalayan state of India: A comparative study
Objective: BMD (bone mineral density) testing facilities are not available in every places in India. We compare the predictive ability of FRAX with BMD and FRAX without BMD for major osteoporotic and hip fracture in Hima...
Comparative analysis between dynamic hip screw and proximal femoral nail the management of intertrochanteric femoral fracture
Peritrochanteric fractures are common in the elderly people. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urbanization. There are va...
Online validity and accuracy of references within drug promotion materials in orthopaedic out-patient department
Background - In the era of evidence based medicine, correct and relevant information should accompany any broadcast of pharmaceutical related knowledge. A substandard piece of information has potential for negative impac...