Evaluation of the neck shaft angle achieved after surgical fixation of intertrochanteric fracture of femur
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction: Femoral trochanteric fractures are the most common fractures of old age. Due to the fracture there is a change in the neck shaft angle which if not restored can lead to further disability. In this study we evaluated the immediate post-operative neck shaft angle achieved in surgically fixed intertrochantric fracture of femur using DHS and PFN and compared it with the normal side. Material & Method: This observational study was performed on 30 patients, with a mature skeleton, with an intertrochantric fracture of femur who got operated within a period of one year. AP view of X-ray pelvis with bilateral hip in 15 degree internal rotation was done in the supine position after surgery. Morphometric measurements bilaterally on digital X-ray machine (CR system) using DIACOM software were done. All the data was analyzed for evaluation of neck shaft angle in non-fractured side and the restoration/change in neck shaft angle on the operated side after surgical fixation. Result: In our study the average neck shaft angle of normal side of femur was found to be 121.17±6.88 degrees and that of the operated side was found to be 125.32±10.12 degrees. Discussion: With DHS we were not able to restore the anatomical NSA due to the valgus reduction but with PFN we were able to restore.
Authors and Affiliations
A Bhandari, AKS Deane
Keywords
Related Articles
- EP ID EP487021
- DOI 10.22271/ortho.2018.v4.i2k.107
- Views 96
- Downloads 0
Arthroscopic 360 degrees capsular release for treatment of adhesive capsulitis– A study of 40 cases
Introduction: Adhesive capsulitis, better known as frozen shoulder is a common disabling musculoskeletal disease, characterized classically by pain and restriction in range of motion. Management of this condition is cont...
Surgical management of fractures of distal end of femur with locking compression plate
Background and Objectives: The fractures of the distal end of femur are one of the commonest fractures found and can be treated by different methods. Incidence of distal end of femur fractures- 37 per 1,00,000 person. Th...
Autologous platelet injection in the treatment of long bone nonunion: A prospective interventional study
Introduction: Union of fracture is a complex process involving many systemic as well as local factors. Disturbance in any of these factors may lead to failure of process of union. This non-union is associated with increa...
A retrospective analysis of extra articular glenoid neck fracture of scapula (A study of 20 cases)
Introduction: Since long ago the scapula fracture is treated conservatively and most of time it works because scapula is a flat bone and coated with bulky muscle. So, nonunion of the fracture is usually not a problem, an...
Profile of patients with osteoarthritis of knee
Introduction: Severe radiological osteoarthritis (grade 3 or grade 4) was uncommon under age 45 years. Overall, differences between men and women were small except for hips and knees; however, severe radiological osteoar...