OUTCOME OF INTERTROCHANTERIC FRACTURES TREATED WITH SHORT FEMORAL NAIL
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 3
Abstract
Aim: To study the functional and anatomical outcome of Inter trochanteric fractures of femur treated with Short femoral nail. Method: This was retrospective study carried out in which 60 patients (50 Male & 10 Female) of 5th to 8th decade of life who underwent Short femoral nail fixation for both Stable & unstable Inter Trochanteric fractures. From the records each patient data was assessed for time required for mobilization, average fracture healing time, degree and grade of hip range of movements, complications, anatomical reduction achieved using Short femoral nail fixation. Results: 55 cases achieved Anatomical reduction. Good to Excellent Hip range of Motion was in 55 (90 %) cases. Fracture union was seen in all cases. No evidence of Z Effect, AVN of femoral head, Implant failure, Fracture of femoral shaft below the Nail tip was seen in any case, However Reverse Z Effect was seen in 4 & shortening of less than 2 cm was seen in 2 cases, External rotation of 10 degree was seen in1 case. Average fracture Union time was 14 weeks. Conclusion: Short femoral nail appears to be better implant for fixation of both Stable & unstable Inter Trochanteric fractures as it fulfills the biomechanical demands being minimally invasive, less blood loss , it prevents excessive varus collapse at fracture site, produces less stress riser effect below the nail tip, Short operative time, Facilitates early mobilization & functional recovery of patients. But Anatomical fracture reduction & optimal implant placement are absolutely must for better results.
Authors and Affiliations
Yadkikar Shriniwas V| Assistant Professor, Department of Orthopaedics, Rural Medical College, Pravara Institute of Medical Sciences (DU), Loni, Maharashtra, Corresponding author email: yadkikarpushkar@yahoo.co.in, Yadkikar Vishnu| Prof. & Unit In charge, Department of Orthopaedics, Rural Medical College, Pravara Institute of Medical Sciences (DU), Loni, Maharashtra, Patel Mayank| Resident, Department of Orthopaedics, Rural Medical College, Pravara Institute of Medical Sciences (DU), Loni, Maharashtra, Dhruvilkumar Gandhi| Resident, Department of Orthopaedics, Rural Medical College, Pravara Institute of Medical Sciences (DU), Loni, Maharashtra, Kunkulol Rahul| Professor, Department of Pharmacology, Rural Medical College, Pravara Institute of Medical Sciences (DU), Loni, Maharashtra
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- EP ID EP11446
- DOI 10.5958/2319 - 5886.2015.00123.X
- Views 243
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