Outcomes of proximal femoral nail in subtrochanteric femur fractures through medial entry
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction: Subtrochanteric Fractures of Femur accounts for 10-34% of all hip fractures. Several Methods of treatment of this Fractures have been reported like DHS (Dynamic hip screw), Angled blade Plate, Proximal Femur Locking Plate and Intramedullary devices. Currently Intramedullary Devices like Proximal Femur Nail are used by many giving satisfactory results in subtrochanteric femur fractures. In such situation as Suggested by Richardu et. el. slight medial entry leads to valgus alignment which is desired along with the anatomical reduction while nailing subtrochanteric fractures. In the study conducted by perez et al. Suggested that slight more medial entry also protected abductors and caused no damage. Materials and Methodology •All the patients of subtrochanteric femur fractures treated with long proximal femur nail through medial entry will be called for follow up and data is collected as per the performa •Functional assessment will be done using Harris Hip Score. Discussion: Utiizing the tip of the trochanter as a starting point led to both varus and valgus malalignments. Using the Trochanteric Fixation Nail (TFN) with a lateral to the tip of the trochanter, starting point demonstrated 6.83° varus and a gap of 8.03 mm. A medial starting point resulted in 6.6° valgus with a mean gap of 3.88 mm and a tip starting point showed 0.3° varus and 3.56 mm of gapping. In the above conducted study there was a valgus angulation at the proximal femur due to medial entry of the proximal femur nail. Conclusion: From this sample study, we conclude that Proximal Femoral Nail through medial entry is a good method for the treatment of Subtrochanteric fractures of femur provided optimal reduction of the fracture and good positioning of the nail and screws are achieved.
Authors and Affiliations
Memon Rohan R, Bhavsar Neel M, Patel Pankaj
Keywords
Related Articles
- EP ID EP488248
- DOI 10.22271/ortho.2018.v4.i4l.120
- Views 80
- Downloads 0
Ender Nail versus Dynamic Compression Plating For Humeral Shaft Fractures
Aim: To compare ender nail with dynamic compression plating for humeral shaft fractures in terms of functional outcomes, union and complication rates. Methods: 30 men and 20 women aged >18 years with fresh humeral shaft...
Platelet rich plasma for plantar fasciitis: Is it a hype???
Background: Plantar fasciitis (PF) is the most common cause of heel pain. Platelet-rich plasma (PRP) has recently been demonstrated to be helpful in managing plantar fasciitis. The purpose of this study was to assess the...
Magnetic resonance imaging based anthropometric study of knee joint in anterior cruciate ligament insufficient knees
Purpose: The objective of this study was to evaluate multiple morphological features on MR images in patients with ACL insufficient knees. Methods: Magnetic resonance imaging (MRI) of the knee of 40 anterior cruciate lig...
Management of fracture shaft of humerus by dynamic compression plate versus interlocking nail: A prospective comparative study
Background and purpose: Simple humeral shaft fracture can be treated non operatively, with good results in most cases but the non-operative treatment requires a long period of immobilization, which carries a risk of prol...
Vacuum assisted closure: Review on current application for post-operative wound management in orthopaedics
Background: Post operative wound dehiscence is a significant health problem. In imposes social and financial burdens. If the injury involves the exposure of bone, early coverage of the defect must be a goal of treatment...