Comparison of radiological outcome of unstable Intertrochanteric femur fractures in elderly patients treated with Indian and Foreign Cephalomedullary nails
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Aim of study: Purpose of study was to compare the radiological outcome of unstable intertrochanteric fractures in the patients treated by Indian and Foreign Cephalomedullary nails. Methods: 417 patients aged 65 years and above with unstable intertrochanteric fractures fixed with Cephalomedullary nails were analysed in two groups – {Group1-{-Indian (PFN, Gamma nail); Group-II Imported (PFNA2, AOAFN)}. Exclusion criteria included polytrauma, pathological fractures, open fractures. Data was collected from January 2011 to June 2015. Pre-op radiographs were analysed for preoperative comminution, lateral wall breach and osteoporosis (singh’s index). Post operatively radiological outcome were analysed with respect to bony union in weeks. Also complications like cut-outs, varus collapse, implant failures, nonunion with both implants were analysed in immediate postop, 6weeks, 12weeks, 18weeks, 24weeks and upto 1year. Data was analysed by statistical methods. Results: Out of 417 patients, 248were operated with Indian and 169 patients with foreign implants. Radiological union in Indian was 16.41 weeks and 15.27 weeks in Foreign (p=0.887). Varus collapse was seen in 3.6% vs 2.9% (p=0.407).Cutout in 2.4% of Indian and 2.3% in Foreign (p=0.493). Implant failures seen in 2.4% vs 1.8%. Nonunion seen in 0.8% and 1.8% (p= 0.372).Complication rates were 12.9% patients with Indian and 11.2% with Foreign implants (p=0.412).
Authors and Affiliations
Vimal Kumar KH, Arunkamal C, Devendra A, Ramesh P, Dheenadayalan J, S Rajasekaran
Keywords
Related Articles
- EP ID EP483360
- DOI 10.22271/ortho.2018.v4.i1e.42
- Views 76
- Downloads 0
Short term outcome analysis of proximal tibia fractures treated with minimally invasive plate osteosynthesis
Introduction: Proximal tibial fractures caused by high-energy mechanisms are associated with neurovascular injuries, compartment syndrome, deep vein thrombosis, contusion, crush injury to the soft tissues and open wounds...
Isolated chronic osteomyelitis of fibula in a child: A case report and review of literature
Introduction: Osteomyelitis is one of the oldest diseases known. Hematogenous osteomyelitis is common in metaphysis of long bones like tibia and femur. Isolated osteomyelitis of fibula in diaphyseal region is un common a...
Role of low molecular weight heparin in preventing deep vein thrombosis in elderly patients with hip fracture
Background: Deep vein thrombosis is one of the most prevalent medical problems today, with an annual incidence of 80 cases per 100,000. Lower-extremity DVT is the most common venous thrombosis, with a prevalence of 1 cas...
Analysis of management of fractures of distal radius with volar plating
Fractures of distal radius contribute to more than 15% of people attending orthopaedic emergency department. It has a bimodal distribution of occurrence comminuted high velocity injury in younger population to low veloci...
Clinical & radiological analysis of results of primary hemiarthroplasty using cemented bipolar modular prosthesis in fracture neck of femur
Single assembly total hip prosthesis, which sought to provide a completely mobile head elements and an additional head surface to allow movement within the acetabulum. Thus he aimed to create a compound system providing...