Comparison of efficacy of extramedullary fixation devices and proximal femoral nail in the management of subtrochanteric fracture femur
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Introduction Hip is one of the important joint for locomotion in human beings So fractures in and around hip joint are of great concern to treating surgeon and patient We have made an attempt to evaluate these complex fractures and compared the efficacy of proximal femoral nail and extamedullary devices in treatment of subtrochanteric fracture femurMaterials and Methods After informed consent was given all 56 consecutive patients with subtrochanteric fracture of femur were randomized into two treatment groups One group of patients were treated with dynamic hip screw or Dynamic condylar screw Group I and other group received proximal femoral nail Group II All procedures were performed by staff surgeons with patient supine on a fracture tableResult The mean operative time in Group I 9357 min was significantly higher than in Group II 80 min with a P value of 0Conclusion We conclude that subtrochanteric fractures are difficult to understand and manage We consider that the PFN is a good minimally invasive implant for unstable proximal femoral fractures when closed reduction is possible In general PFN afforded early return to physical activity faster rehabilitation walking ability lesser blood loss and comparable success rateKeywords Extramedullary fixation Proximal femoral nail Subtrochanteric fracture femur Dynamic condylar screw
Authors and Affiliations
Santosh Deshpande, Shriniwas Yemul
Keywords
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- EP ID EP476611
- DOI 10.18231/2395-1362.2018.0039
- Views 88
- Downloads 0
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