OUTCOME OF PERITROCHANTERIC FRACTURES TREATED WITH PROXIMAL FEMORAL NAIL VERSES DYNAMIC COMPRESSION SCREW
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 17
Abstract
: The objective of this study is to compare the results of proximal femoral nail intramedullary fixation device verses dynamic compression screw with extramedullary device in the treatment of peritrochanteric fractures. METHODOLOGY: A prospective study from June 2012 to Aug 2013, including 50 patients with intertrochanteric fractures. In group I 25 patients were treated with long proximal femoral nail intramedullary fixation and Group II 25 patients treated with dynamic hip screw with extramedullary device for peritrochanteric fractures. Clinical assessments regarding pain and function, radiological assessment were undertaken at the final follow-up. RESULTS: Fracture healing was observed at an average of 6 weeks in Group I and 7 weeks with Group II. Excellent and good results were obtained in Group I with 88%, fair in 12 %. No case with poor results. In Group II, 80% showed excellent and good, 16% with fair and 4% with poor results. CONCLUSION: From this sample study, we consider that PFN is an excellent implant for the treatment of peritrochanteric fractures. The terms of successful outcome include a good understanding of fracture biomechanics, proper patient selection, good preoperative planning, accurate instrumentation, good image intensifier.
Authors and Affiliations
Ramesh R, Tarun Aggarwal, Vigneshwaran P.
Keywords
Related Articles
- EP ID EP227659
- DOI 10.18410/jebmh/2014/307
- Views 54
- Downloads 0
COMPARATIVE STUDY OF SUCTION DRAIN VERSUS NO SUCTION DRAIN AFTER THYROID SURGERY- A HOSPITAL BASED STUDY
BACKGROUND The main complications of thyroid surgery include recurrent laryngeal nerve injury, hypocalcaemia, surgical site infection, haematoma and seroma formation. Post-operative seroma is a common complication. We wa...
ASSOCIATION OF GUTKA/CANNABIS MISUSE AND DEVELOPMENT OF MENTAL DISORDERS
BACKGROUND: History of drug abuse which included Gutka/cannabis and not alcohol intake has been found in psychiatric patients attending Psychiatry outpatients. AIMS: To find out prevalence of cannabis/Gutka misuse among...
RADIOLOGICAL STUDY OF HUMAN LUMBAR VERTEBRAL CANAL IN VIDHARBHA REGION
Increase in number of patients suffering from backache all over world needs changing health polices and cost benefit analysis, it is important to look at diseases causing low back pain and for this study of radiological...
MANUAL SMALL INCISION CATARACT SURGERY UNDER TOPICAL ANESTHESIA ALONE, IN PATIENTS WITH CARDIAC DISEASE
AIM: To evaluate the outcome of manual small incision cataract surgery (MSICS) under topical anesthesia alone in patients at risk for local invasive anesthesia due to cardiac disease. MATERIALS AND METHODS: A retrospecti...
COMPARATIVE STUDY BETWEEN BUPIVACAINE ALONE AND BUPIVACAINE WITH FENTANYL IN AXILLARY PLEXUS BLOCK FOR UPPER LIMB SURGERIES
BACKGROUND The addition of adjuncts like Neostigmine, opioids, midazolam, dexmedetomidine, hyaluronidase, clonidine etc., to local anaesthetics for brachial plexus block may enhance the quality and duration of analgesia....