COMPARATIVE STUDY OF TREATMENT OF INTERTROCHANTERIC FEMUR FRACTURES BY PROXIMAL FEMORAL NAIL(PFN) AND PROXIMAL FEMORAL NAIL-ANTIROATION(PFN-A)
Journal Title: INTERNATIONAL JOURNAL OF ADVANCES IN ORTHOPAEDICS - Year 2018, Vol 1, Issue 2
Abstract
INTRODUCTION: Proximal femoral fractures are a big challenge in traumatology both for orthopaedic surgeons and anaesthetists. Proximal femoral fractures include the intracapsular and extracapsular fractures. Pertrochanteric, intertrochanteric and subtrochanteric fractures are extracapsular fractures. The present study was aimed to compare the results of surgical management of Inter-trochanteric femoral fractures treated by Proximal Femoral Nail(PFN) and Proximal Femoral Nail Antirotation (PFN-A) as regards to Fracture union in terms of radiological outcome and functional restoration and to study the complications and their mana. The present study was conducted on 30 adult patients (both male and female above the age of 50 years) with Intertrochanteric femoral fractures attending the Out Patient Department/Emergency of the Department of Orthopedics, MMIMSR. 15 Patients each were randomly selected for PFN and PFN-A xation. The functional outcomes achieved after treatment of unstable intertrochanteric fractures with both PFN and PFNA are satisfactory and comparable. The PFNA is an easier implant to insert owing to a single device for proximal xation, which translates into lesser surgical time as compared to the PFN. The number of implant related complications encountered with the helical blade are lesser than that with the PFN. This can be attributed to the biomechanically superior hold of the helical blade by virtue of compaction of cancellous bone around it. Irrespective of the implant used, the quality of reduction achieved intra-operatively is the major determinant of success of fracture xation. Functional outcomes after intertrochanteric fractures especially in the elderly are only in part dependent on the implant and fracture union. Age, general debility and pre injury functional status are also major determinants of post operative outcome
Authors and Affiliations
Dr Manjeet Singh, Dr Ashwami Ummat, Dr Alambeer Singh, Dr Sarthak Sharma
Keywords
Related Articles
- EP ID EP626609
- DOI -
- Views 72
- Downloads 0
ACHIEVEING WIDE HOLLYWOOD SMILE USING 'COMBINATION TECHNIQUE' IN SEVERE CROWDING CASES
With increased use of straight wire appliance with MBT prescription there is a decline in use of old bracket systems like that of Begg's brackets. Begg's brackets were once commonly used and were main stream of orthodont...
RELATIONSHIP BETWEEN DEPRESSION AND CHRONIC LOW BACK PAIN IN RURAL PATIENTS.
INTRODUCTION: Depression is by far the most common emotion associated with chronic back pain. Chronic pain and depression are two of the most common health problems that health professionals encounter, yet only a handful...
RANDOMIZED CONTROLLED TRIAL COMPARING OUTCOME OF LIMITED CONTACT LOCKING COMPRESSION PLATE WITH LIMITED CONTACT DYNAMIC COMPRESSION PLATE FOR BOTH BONE FOREARM FRACTURES IN ADULTS
OBJECTIVES: Forearm shaft fractures are often referred to as being frequent fractures. It comprises of 0.8 % of all fractures. The chances for the occurrence of malunion and non-union are greater. Cortical porosis and re...
CLEIDOCRANIAL DYSPLASIA (CCD) : A CASE REPORT
Cleidocranial dysplasia (CCD), also known as Scheuthauer Marie-Sainton Syndrome, is a rare autosomal dominant inherited disorder, characterized by general retardation in bone ossication, hypoplastic clavicles and variou...
AN EXPERIMENTAL STUDY TO EVALUATE THE EFFECTIVENESS OF HOME BASED EXERCISES ON KNEE PAIN AMONG RURAL POPULATION IN MANAKPUR VILLAGE OF DISTRICT PATIALA, PUNJAB
BACKGROUND: Knee pain is cause of physical disability, affecting more than 70 million people all over the world. Home based exercises can reduce knee pain and improve physical performance. AIMS: The aim of the study is t...