Long PFN nailing in comminuted high subtrochanteric fractures femur in lateral position on ordinary table
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Most of the hip fractures are managed in supine position on a fracture table with foot attached to foot plates and biplanar fluoroscopy supervision under carm But this procedure has its own difficulties in managing especially comminuted subtrochanteric fractures where in different fragments and segments are being pulled by strong muscles around hip and getting good reduction and alignment is difficult due to displaced bony fragments being held in traction on fracture table and cannot be manipulated easily This leads to prolonged operative time opening of fracture site increased bleeding increased chances of infection and over all increased anaesthesia time adding up to risk factors The purpose of this study was to report how these difficulties can be overcome by operating on a simple radioluscent top operating table in lateral position without a fracture tableMaterials and Methods 74 cases of subtrochanteric fractures with or without comminution were operated in lateral position on simple ordinary radioluscent top table with lesser attachments and adjustments to operating table during the study duration were included in the study We used long Proximal Femur Nail PFN length more than 25cms 34 36 38 40cms long to fix these fracturesResults In the present study age group of patients was 25yrs to 74yrs Male patients 837 were more than female patients 163 An average of less than 150 ml in closed surgery The average operative time for all cases was 80 minutes Union time varied from 16 weeks in simple fractures to 26 weeks in comminuted fractures Clinical function of hip and knee was excellent with full range of movementsConclusions Reduction and fixation of proximal femoral fractures in the lateral position with fluoroscopy or portable radiography in the anteroposterior view for small set ups and rural hospitals that lack a fracture table or advanced fluoroscopic devices may be executable and probably safeKeywords Long PFN Subtrochanteric fracture Lateral position Ordinary operating table
Authors and Affiliations
Shashikant B. Ganjale
Keywords
Related Articles
- EP ID EP476645
- DOI 10.18231/2395-1362.2018.0054
- Views 86
- Downloads 0
The role of clavicle hook plate in fracture lateral end of clavicle
Background: Fracture of lateral end clavicle constitutes merely 15% of clavicle fracture, only a third of these fractures are displaced (Neer’s Type 2/Edinburgh Type 3B1).(1) No single treatment technique has been hailed...
Role of hip abduction brace in preventing impending failure in PFN
Introduction The hip abduction brace is an orthotic device made after taking individual measurements and works on the principle by assisting or resisting the movements of joint and bypass the load on Implant and hip join...
Percutaneous transforaminal lumbar endoscopic discectomy: An appropriate outpatient procedure for lumbar disc pathologies in a high output tertiary care centre
Introduction A very common problem that we come across is that of lower backache in middle aged and elderly in which disc prolapse is far more prevalent in the population than realised However radicular steps like spine...
Epidemiological analysis of elbow fractures in Kashmiri children
Background: The aim of this study was to look at the epidemiology of elbow fractures in children in Kashmir region who were treated at a major trauma institute, the hospital for Bone and Joint Surgery Srinagar for two ye...
Long proximal femoral nail versus short proximal femoral nail in treatment of unstable intertrochanteric fractures- a prospective randomized comparative study
Background & objectives: In elderly, the Intertrochanteric fractures are one of the most common fractures of the hip out of which more than 50% are unstable. Internal fixation is optimal for it fractures which are very c...