Functional Outcome of Unstable Intertrochanteric Femur Fracture Patients Treated with Trochanteric Fixation Nail
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Intertrochanteric fractures are disabling injuries that most commonly affect the elderly population. These fractures have a tremendous impact on both the health-care system and society in general. These fractures can be managed by conservative methods, but mal-union and complications of prolonged immobilization are the result. Thus, surgery by internal fixation is the ideal choice. Dynamic hip screw was the gold standard treatment for intertrochanteric fractures before intramedullary devices were developed. These devices have the advantage of being an intramedullary fixation device, shorter lever arm of devices causing less tensile strain on the implant, controlled fracture impaction due to the incorporation of sliding hip screw, shorter operative duration, and less soft tissue dissection. In view of these consideration, this study of management of unstable intertrochanteric fractures using trochanteric fixation nail (TFN) is taken up to assess the outcome in terms of adequacy of fixation and results. Methods: In a retrospective controlled study, 40 patients of unstable intertrochanteric fracture were treated by TFN. Mean age group of the patient was 61.78 years. 26 cases showed union at 3 months, 13 cases showed union at 4 months, and 1 case showed union at 5 months duration. Results: Functional results were assessed in the 40 cases available for follow - up. Excellent results were noted in 10 cases, good in 27 cases, fair in 3 cases, and none had poor result. Anatomical results were assessed by presence or absence of shortening and range of movements. 37 cases had good results and 3 had poor result. Conclusion: At present, TFN is a good minimally invasive implant for unstable intertrochanteric fracture when closed reduction is possible. Technical and mechanical complications were mostly related to the operative technique and the type of fracture and pre-operative reduction of the fracture.
Authors and Affiliations
Shankar Niwas
Keywords
Related Articles
- EP ID EP531974
- DOI 10.21276/ijmrp.2018.4.3.035
- Views 81
- Downloads 0
The Study of Efficacy and Safety of Phacoemulsification for Cataract Surgery in Bikaner Population
Introduction: The “ right to sight” is the common global agenda launched by the WHO and task force of International NGOs to combat the gigantic problem of blindness and the aim of vision 2020 is to reduce the current exp...
Bacteriological Profile and Their Antibiotic Susceptibility of Isolates of Surgical Site Infection at Tertiary Care Hospital
Introduction: Surgical site infections (SSI) constitute a major public health problem worldwide and are the commonest nosocomial infection after urinary tract infection (UTI). They are responsible for increasing the trea...
Evaluation of Efficacy of Three-Port V/s Standard Four-Port Laparoscopic Cholecystectomy in Patients of Symptomatic Cholelithiasis: An Institutional Based Study
Background: Laparoscopic cholecystectomy is a minimally invasive surgical procedure for removal of a diseased gallbladder. Traditional LC is performed using four-port technique. Reducing the size or number of ports did n...
Knowledge and Attitude of Parents toward Their Son's Circumcision at King Saud Hospital in Unaizah City: Cross-Sectional Study
Introduction: The male circumcision is a vastly applied surgery around the world with 37-39% of men being circumcised. Surgically it comprises of the removal of part or the entire foreskin (prepuce) from the penis. Compl...
Effect of Isotretinoin on Mood Status and Psychological Changes Among Female Saudi Patients Between Twenty and Twenty Five Years Old, Diagnosed with Acne Vulgaris in Makkah, 2013
Introduction: Isotretinoin (trade names Roaccutane and Oratane) is a vitamin A derivative. It has been approved for the treatment for nodular and cystic acne and there is an association between the drug and mood and psyc...