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
Dilemas in management of plantar fascitis
Background: Plantar fascitis is a common condition that occurs in the heel, and approximately 11% to 15% of adult foot symptoms are plantar fascitis. In terms of treatment, various methods have been used in the treatment...
Tibial diaphyseal fractures managed surgically by interlocking intramedullary nailing: A prospective study
The tibia is by far the commonly fractured long bone in the human body, as it has got a poor soft tissue coverage and its medial surface is almost completely subcutaneous. Tibial diaphyseal fractures are treated surgical...
Outcome of intertrochanteric femur fractures treated with short proximal femoral nail
Background: Inter-trochanteric femur fractures are becoming more common since life expectancy is on rising trend in India. Intertrochanteric femur fractures are treated with various implant systems. Proximal femoral nail...
Operative management of pediatric humeral shaft fractures
The aim of this study to describe the indications, technic and results of operative of Pediatric Humeral Shaft Fractures operated at Ashwini Hospital between Jun 2013 to May 2015. Twenty Pediatric patients ranging in age...
Clinical profile of patients with Cervical Myelopathy
Introduction: The natural history of cervical myelopathy is usually progressive in nature, the primary goal being early diagnosis and treatment. Diagnosis is mainly done through clinical and radiological methods. Cervica...