Randomised comparative study in management of unstable intertrochanteric fracture with PFN V/S PFN A2 - functional and radiological out-come
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
A prospective, randomized, comparative study, this study was conducted in Institute Of Orthopaedic Research and Accident Surgery (IORAS) Devadoss Multispeciality Hospital, Madurai, Tamil Nadu. Study period of Two years from April 2016 – May 2017. Since this fracture is more common in the elderly patients, the aim of treatment is prevention of mal union and early mobilization, taking all the factors into consideration surgery by internal fixation of the fracture is ideal choice. A wide modalities of internal fixation are available for the management of these fractures, most commonly used implant is dynamic hip screw(DHS) with side plate, this is a controlled collapsible fixation device, unstable intertrochantric fracture are difficult to treat, so intramedullary devices such as proximal femoral nail(PFN) are biomechanically stronger and more rigid compared to extramedullary devices such as DHS, PFN also has showed more number of post operative complications like implant failure, screw cutout in case of unstable intertrochantric fractures, to improvise in 2009 AO/ASIF introduced Proximal femoral nail antirotation (PFN A2) which claimed better rotation and angular stability with helical blade and better functional outcome in treating unstable intertrochantric fractures when compared to PFN. So to evaluate and compare functional and radiological outcome of the patients having unstable intertrochantric fractures treated by two different methods of fixation with PFN and PFNA2. This study is taken up to find out the efficacy of newer implant PFN A2 over PFN.
Authors and Affiliations
Dr. Gururagavendra. P, Dr. Sathish Devadoss, Dr. Jayakumar S, Prof. A. Devadoss
Keywords
Related Articles
- EP ID EP488210
- DOI 10.22271/ortho.2018.v4.i4l.112
- Views 143
- Downloads 0
Results of modified Carroll technique in severe, resistant clubfeet
Introduction: The malrotation of calcaneum and talus is the aetiology behind resistant clubfeet. The surgical release procedures are aimed at realignment of these pathological structures with minimal scarring and wound p...
Comparison of radiological and functional outcome in patients with femoral neck fracture operated with dynamic hip screw versus multiple cannulated screws
Introduction: Intracapsular fractures of neck femur have always presented a great challenge to orthopaedics surgeons and remain in many ways the unsolved fracture as far as treatment and results are concerned especially...
Clinical study of ankle fractures and role of fibula fixation
The objective of this study was to classify the different clinical scenarios in ankle fractures, looking at their mechanism of injury, relevant to the mode of treatment and to determine the functional outcome and role of...
A prospective study of functional outcome of ACL reconstruction with quadrupled semitendinosus tendon autograft using Endobutton and bioabsorbable interference screw
Background: The Anterior Cruciate ligament (ACL) is the primary stabilizer of the knee and prevents the knee against anterior translation. It is also important in counteracting rotational and valgus stress. Anterior Cruc...
Functional outcome of arthroscopic Bankart repair for anterior shoulder instability
A prospective study was done on 21 patients with mean age of years (range yrs) underwent arthroscopic Bankart repair with suture anchors for anterior shoulder instability at Sports Injury Centre, Sanjay Gandhi Institute...