Functional Outcome of Proximal Femur Fracture Managed Surgically using Proximal Femoral Nail (PFN)
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Proximal fractures of femur are the most frequently occurring fracture especially the intertrochantric in elderly. The goal of treatment is early restoration of the patient to their preinjury status. Multiple modalities of treatments are available, since the fracture patterns are not uniform and the morphology has significant variations. Using PFN for fracture fixation has less blood loss, improved early mobilization, reduced rate of infection and mal union was noted in among these patients. Objective of our study was to assess the functional outcome of these fractures managed surgically using PFN. Material and Methods: This is a prospective study, on patients with proximal femoral fractures in the age group of 40 to 75 years. Period of study was from June 2011 to June 2016. 54 Patients were selected for the study from those presenting to our hospital. The outcome was assessed based on Kyle’s Criteria. Results: Based on the Kyle’s criteria 68.5 % i.e 37 patients showed excellent results. 16.67 % of patients i.e 9 patients had minimal pain at 12th month of follow up, following surgery. 68.5 % of patients returned to their pre injury status in terms of daily routine activities. Only 3 patients had limb shortening of around 2 cm. Conclusion: In unstable proximal femur fractures achieving anatomical reduction and stable fixation is vital in attaining good outcome. PFN is a good minimally invasive option with minimal soft tissue handling. Patients treated by proximal femoral nailing gained good outcome.
Authors and Affiliations
S F Kammar, V K Bhasme, Akash Hosthota, Mayur Rabhadiya
Keywords
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