Outcome Analysis of Reverse Oblique Trochanteric Fractures Treated with Proximal Femoral Nail
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Trochantric fracture is more common in the elderly patients, the aim of treatment should be prevention of malunion, and early mobilization. Reverse oblique trochanteric fractures are complicated by malunion and delayed or nonunion. The factors responsible for these complications in reverse oblique trochanteric fractures are high stress concentration, predominance of cortical bone and difficulties in getting biomechanically sound reduction because of comminution and intense concentration of deforming forces. Materials and Methods: A total of thirty adult patients of peritrochanteric factures of femur satisfying the inclusion criteria who were treated with ORIF/CRIF Proximal Femoral nail fixation. All patients were followed up till two years. At every visit patient was assessed clinically with modified Harris Hip Scoring system and radiologically with x-ray of the involved hip with femur was done to assess fracture union and implant bone interaction. Results and Conclusion: The mean age of the patient in our study is 57.7 years. Most common fracture pattern in our study group is A3.3, which is about 40 percent followed by A3.2 (33 percent) and A3.1 (27 percent). Mean time for radiological union was 14.57 weeks in our study. The functional outcome was assessed was on the basis of modified Harris hip score; the mean modified Harris hip score increased from 61.96 at 12 weeks to 89.20 at two years. Intramedullary nailing with proximal femoral nails consisting of two proximal lag screws is a good option in the treatment of reverse obliquity intertrochanteric fractures if attention is given to ensure correct technique during nail insertion. The fracture has to be reduced before passing the intramedullary nail.
Authors and Affiliations
Ghanshyam Narayan Khare, Rupesh Jung Belbase, Saurabh Singh, Sanjay Yadav, Ramvilas Nag, Amit Kumar, Rohit Amar
Keywords
Related Articles
- EP ID EP549495
- DOI -
- Views 129
- Downloads 0
Role of Bone Marrow Derived Autologous Mesenchymal Stem Cells in Fracture Healing in Rabbits
Introduction: In patients with fractures, the bone marrow derived autologous stem cells have a therapeutic potential to accelerate the healing process and treat nonunion. It has become a clinical necessity to develop the...
Isolated Volar Dislocation of Distal Radio-ulnar Joint: A Case Report
Introduction: Any dislocation of distal radio-ulnar joint is a rare injury especially when it is not associated with any fractures. A detailed history, careful physical examination, proper radiographic imaging along with...
Need for the Research Cultures
One of the major hurdles for scientific research in India is lack of Research culture specially in medical field and in field of orthopaedic surgery. In countries that have good research output, the universities and inst...
Vitamin D supplementation in pre and post-operative orthopaedic patients – a single centre study
Background: The best-known role of vitamin D is its role in calcium homeostasis; appropriate serum calcium concentrations are essential for many functions, including proper mineralization of the bone, muscle contraction,...
Intraprosthetic Dislocation Following Bipolar Hemiarthroplasty after 4 Years with Squatting and Sitting Cross Legged: A Case Report
Case Report: A 64 year old female sustained injury to her left hip four years back and was diagnosed as subcapital fracture neck of femur for which bipolar hemiarthroplasty left hip was done. Post Op she was asymptomatic...