COMPARATIVE STUDY OF MANAGEMENT OF INTERTROCHANTERIC FRACTURES (TYPE 3 AND 4 BOYD AND GRIFFIN CLASSIFICATION) BY DYNAMIC HIP SCREW OR PROXIMAL FEMORAL NAIL

Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 47

Abstract

BACKGROUND Intertrochanteric fractures are one the common fractures encountered in today’s orthopaedic practice. Intertrochanteric fractures are devastating injuries that most commonly affect the elderly population, but not increased in the younger population. In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic resulting from a trivial fall. MATERIALS AND METHODS This study was conducted in Konaseema Institute of Medical Sciences, Amalapuram, from July 2013 to September 2016. During this period, adult patients with pertrochanteric fractures of femur were classified according to Boyd and Griffin classification and 40 patients were selected according to inclusion criteria. This study was conducted with due emphasis for clinical observation and analysis of results after surgical management of these fractures of femur with dynamic hip screw or proximal femoral nailing. RESULTS Anatomical results were assessed by presence or absence of shortening, range of movements and deformities. 70% of the cases had good results in PFN series as compared to 65% in DHS series. Functional results were assessed in the 40 cases. These constituted of 20 cases in PFN series and 20 cases in DHS series. In PFN series, results were excellent results in 7 cases, good in 6 cases, fair in 2 cases and poor in 5 cases. In DHS series, results were excellent in 5 cases, good in 9 cases, fair in 2 cases and poor in 4 cases. CONCLUSION An intertrochanteric fracture of the femur is common in the elderly due to osteoporosis and in young due to high velocity trauma. As the fracture is more common in the elderly, early reduction and internal fixation increases patient comfort, facilitates nursing care, helps in early mobilisation of the patient and decreases the duration of hospitalisation. Anatomical reduction can be achieved by closed manipulation or open methods. As the incidence of comminution is high, these fractures may require a stable reduction and internal fixation. Bone grafting is required if there is a deficiency. Osteosynthesis with PFN offers the advantages of high rotational stability of the head-neck fragment, an unreamed implantation technique and the possibility of static or dynamic distal locking. Proximal femoral nail has the advantage of collapse at fracture site and is biomechanically sound.

Authors and Affiliations

Sunkara Dinesh Chowdary, Challa Ravi Kiran, Cheekati Lalki

Keywords

Related Articles

EVALUATION OF DRY EYE SYMPTOMS AFTER PHACOEMULSIFICATION

BACKGROUND One of the most common clinical conditions in ophthalmology practice is dry eyes. It has been documented in various research studies that corneal surgeries including clear corneal Phacoemulsification plays a s...

A STUDY OF FETAL OUTCOME IN OLIGOHYDRAMNIOS (AFI BETWEEN 0-7)

OBJECTIVES: Amniotic fluid Volume (AFV) is an important indicator of fetal wellbeing Oligohydramnios affects 0.5 to 5% of the pregnancy. In presence of Oligohydramnios if the AFI is 0-7 the fetal outcome is not good. If...

KNOWLEDGE AND PRACTICE OF THE DIABETIC EYE DISEASES AMONGST PERSONS WITH DIABETES- A CROSS-SECTIONAL SURVEY

BACKGROUND India is home to second most populous country with diabetes. As more and more people with diabetes are leading normal life with the help of drugs, the burden of diabetic retinopathy is increasing. The awarenes...

A STUDY OF ENDOSCOPIC ENDONASAL DCR WITH SILICONE STENTING

BACKGROUND Watering of eyes is a troublesome symptom and dacryocystitis is the commonest pathological cause for epiphora. It is treated with dacryocystorhinostomy. It is a common problem. Failure is seen with endonasal D...

BLOOD PRESSURE RESPONSE TO COLD PRESSOR TEST AMONG CHILDREN OF HYPERTENSIVE AND NORMOTENSIVE PARENTS

BACKGROUND Hypertension is one of the leading causes of premature death worldwide and the problem is growing. It is a risk factor for coronary heart disease and the single most important risk factor for stroke. Inheritan...

Download PDF file
  • EP ID EP220030
  • DOI 10.18410/jebmh/2017/571
  • Views 90
  • Downloads 0

How To Cite

Sunkara Dinesh Chowdary, Challa Ravi Kiran, Cheekati Lalki (2017). COMPARATIVE STUDY OF MANAGEMENT OF INTERTROCHANTERIC FRACTURES (TYPE 3 AND 4 BOYD AND GRIFFIN CLASSIFICATION) BY DYNAMIC HIP SCREW OR PROXIMAL FEMORAL NAIL. Journal of Evidence Based Medicine and Healthcare, 4(47), 2876-2883. https://europub.co.uk/articles/-A-220030