OUTCOME OF PROXIMAL FEMORAL NAIL FIXATION IN INTERTROCHANTERIC FEMORAL FRACTURES OF GERIATRIC POPULATION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 11
Abstract
BACKGROUND The purpose of this meta-analysis was to find out whether the proximal femoral nail was better implant for the treatment of trochanteric fractures with respect to operation time, blood transfusion, hospital stay, wound complications, number of reoperation and union rate. MATERIALS AND METHODS A prospective study was done from January 2015 to June 2017, which included 74 patients aged over 60 years with intertrochanteric fractures classified accordingly ‘Boyd & Griffin” system, who underwent osteosynthesis using PFN. The results data were assessed clinically using Harris Hip Score and radiological findings were compared at 3, 6, 12 and 18 months postoperatively. The mean follow-up period was 18.5 months (range 6-24 months). RESULTS The mean operation time was 40.5 minutes (range 22-118 min.) and the mean blood loss was 225 ml (range 150-450 ml). Union was obtained in all cases. Reduction was poor in 2 (2.7%), acceptable in 25 (33.8%) and good in 47 cases (63.5%). Post-operative complications included secondary varus (n=4, 5.4%), Z effect (n=5, 6.75%) reverse Z effect (n=2, 2 .7%), shortening (mean 8.2 mm, n=12, 16.2%), and cut-out of neck screw (n=3, 4.05%). The mean duration of fracture union was seen in 16-20 weeks (n=65, 87.75%). The mean Harris Hip Score was 77.6 and observed in category excellent (n=13, 17.55%), good (n=21, 28.35%), fair (n=19, 25.65%) and poor (n= 4, 4.05%). CONCLUSION Due to advantages of high union rate, early mobilization and short operative time PFN osteosynthesis is the method of choice for surgical treatment of intertrochanteric femoral fractures in geriatric population.
Authors and Affiliations
Mallam Kiran Kumar, Pramod Jain
Keywords
Related Articles
- EP ID EP538138
- DOI 10.18410/jebmh/2018/211
- Views 48
- Downloads 0
STUDY OF FACTORS RELATED TO STRESS AMONG WOMEN UNDERGOING TERMINATION OF PREGNANCY (TOP) IN A COLLECTIVIST CULTURE
BACKGROUND India is a country where people are dependent on each other for psychological support. Traditional Indian culture follows a collectivist pattern where the woman cares more about her family and society than her...
ROLE OF BONE MARROW ASPIRATION IN DIAGNOSIS OF HAEMATOLOGICAL DISORDER
BACKGROUND The bone marrow examination is an essential investigation for the diagnosis of disorders of the blood and bone marrow. This simple and relatively safe procedure is important, particularly in resource poor cent...
ATRIAL MYXOMA AS A CAUSE OF STROKE IN THE YOUNG
Cardiac Myxoma is a source of emboli to the CNS and elsewhere in the vascular tree. However non-specific systemic symptoms and minor embolic phenomenon may be overlooked in the absence of any history of cardiac symptoms....
THE STUDY OF NUTRIENT FORAMINA IN HUMAN CLAVICLE
BACKGROUND The major blood supply to the long bones is through nutrient arteries, which enter the medullary cavity of bone through the nutrient foramina. Nutrient foramen is the opening present in the shaft of long bone....
A CASE STUDY OF SHEEHAN’S SYNDROME
PRESENTATION OF CASE A 23 years old lady presented to casualty with following symptoms: • Fever since 2 days and Vomiting since 1 day • Patient was apparently alright 2 days back when she developed fever, which was high...