Assessment Of Lower Extremity Functional Scale (LEFS) Score In Patients Of Unstable Intertrochanteric Femur Fracture Managed By Proximal Femoral Nail – A Prospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 2
Abstract
BACKGROUND: Intertrochanteric femur fractures are disabling injuries frequently occur in elderly population and also in young ones. The incidence has increased due to the advancing mean age of the population and high energy trauma in younger population. Internal fixation is the modality of choice for treating intertrochanteric fractures as most of these fractures are highly unstable. Treatment of Unstable fractures is difficult with conventional operative modalities & may result in complications like non-union, malunuion and implant failure. With the use of intramedullary devices (like PFN), the above mentioned complications can be reduced especially in unstable patterns. Being a closed technique, biology at fracture site is not disturbed and allows earlier weight bearing and better rehabilitation. Thus proximal femoral Nail (PFN) has increasing popularity for the treatment of intertrochanteric femur fractures. MATERIAL AND METHODS: A prospective cohort study of 30 patients of unstable intertrochanteric femur fracture managed with proximal femoral nail (PFN) was done from March 2013 to April 2014 at NORTH DMC MEDICAL COLLEGE AND HINDURAO HOSPITAL DELHI-07. Patients were followed up for 1 year. Check x ray was taken at every visit and patient was clinically and radiologically assessed for fracture union, functional outcome and complications. At every visit patients were assessed using LEFS questionnaire. All the data were collected as per Performa and results were assessed. RESULTS: In our study the mean age of patients was 66 years; self fall as the mode of trauma in majority of cases (73.33%). The mean time for radiological union was 12.70 weeks. The mean pre injury Lower extremity functional scale (LEFS) score was 68.37 and at 12 months the mean score was 67.63. CONCLUSION: Proximal Femoral nail (PFN) is an excellent modality for the management of unstable intertrochanteric femur fractures having lesser operating time, lesser blood loss, allows early weight bearing, less chances of complications and significant improvement in post operative Lower extremity functional scale (LEFS) score . With our study we would like to recommend this as a modality of choice for unstable type fractures.
Authors and Affiliations
Debashish Panigrahi, Mukesh Kumar Sharma
Keywords
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