PFNA v/s PFN IN THE MANAGEMENT OF UNSTABLE INTERTROCHANTERIC FRACTURES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 24
Abstract
Intertrochantric femoral fractures are common among older age group and are associated with substantial morbidity and mortality a wide variety of treatment modalities are available for the management and many author have reported that intramedullary devices such as PFN are biomechanically stronger and rigid compared to extramedullary device. PFN also showed more number of post-operative complications like implant failures screw cutout in case of unstable intertrochantric fractures To improvise in 2003 AO/ASIF introduced PFNA (Antirotation system). This study was conducted to understand and analyze the advantages of PFNA over PFN in the management of unstable intertrochantric fractures at Sanjay Gandhi Institute of Trauma and Orthopedics Bangalore between 2011 to 2013. In all the cases pre-operative and post-operative clinical evaluation radiological evaluation, assessment regarding operative time blood loss fluoroscopy time, time for fracture union post-operative complication are also noted clinical results were evaluated using Harris Hip score The results showed PFNA has better rotation stability with single screw and better functional outcome in treating unstable intertrochantric fractures when compared to PFN.
Authors and Affiliations
Mohan N. S, Shivaprakash S. U, Sridhar
Keywords
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- EP ID EP101026
- DOI 10.14260/jemds/2015/590
- Views 118
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