Outcome evaluation of subtrochanteric femur fractures treated with proximal femoral nails
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 1
Abstract
Background: Subtrochanteric femur fractures have demanded special consideration in orthopaedic traumatology, given the high rate of complications associated with their management. The proximal femoral nails were developed as an intramedullary device for the treatment of such fractures. Aim: To evaluate outcome of subtrochanteric femur fractures treated with proximal femoral nails. Material and Methods: A total of 30 Subtrochanteric femur fracture cases were treated with PFNs and followed up for evaluation of functional and radiological outcome. Results: At the end of five months, all except five patients could mobilize independently without any aid. Two patients were using crutch and 3 patients were mobilized using walker. One patient had a superficial infection at the surgical wound site which subsided with parenteral antibiotics. One patient had anaesthesia related complication. We did not come across complications like fracture of femur and failure of fixation. Conclusion: Fractures united in all cases and postoperative functional outcome was satisfactory. PFN could be a preferred implant of choice in treating subtrochanteric fractures especially in elderly since it allows early and stable mobilization.
Authors and Affiliations
Soundararajan K
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