Subtrochanteric Fracture of the Femur in the Elderly Osteoporotic Bone: Long Proximal Femoral Nail is the best Treatment Option: In Rural Population - Case Series
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Sub-trochanteric fractures involve the upper part of femur between the lesser trochanter and the isthmic region. Fractures in this area are complex and treatment is bothersome to both the patient and the orthopaedic surgeon. These fractures are common among elderly adults with coexisting low bone mineral density due to osteoporosis. Plates, dynamic hip screw, dynamic condylar screw, proximal femoral locking compression plate, intramedullary nail, cephalo medullary nail, proximal short and long femoral nail (PLFN) are the transformational procedures available in which the PLFN is being preferred due to stable fixation.1 10 patients were enrolled in the study.2 The patients were assessed using modified Harris hip scoring postoperatively at one, three, six month and one year from the date of surgery. Descriptive statistics was done in the MS office excel 2010. The encountered complications are non union (n=1), postoperative delirium (n=0) and a case of varus deformity (n=1). The biomechanical properties and minimally invasive fixation technique inspite of good of reduction the LPFN takes lower mean duration of surgery, lower rate of reoperation has the least complications among the other fixation techniques. Background: Long proximal femoral nail has been the standard treatment for subtrochanteric fractures. However there are many fixation implants in the field of traumatology.1 Especially in elderly osteoporotic bone fractures long proximal femoral nail achieved good functional outcome with least complications compared to other implants which leaded to high failure rates. Methods: A Series of eleven cases of osteoporotic subtrochanteric fractures are operated with long proximal femoral nail. One patient lost follow up. The patients are followed (at one, three, six month and one year) at regular intervals. Results were assessed using modified harris hip scoring system. Results: Total ten patients were taken for study were followed by minimum six months and maximum of one year. Clinical outcome was rated as per modified harris hip score. Excellent – 60 %, Good – 20 %, Fair – www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i10.174 Neelakrishnan R et al JMSCR Volume 06 Issue 10 October 2018 Page 1047 JMSCR Vol||06||Issue||10||Page 1046-1055||October 2018 10%, Poor – 10%. Conclusion: The surgical management of subtrochanteric fracture with long proximal femoral nail provides stable fixation with moderate pain free early mobilization and good outcome in osteoporotic patients with limited complications.
Authors and Affiliations
Dr R. Neelakrishnan
Keywords
Related Articles
- EP ID EP513332
- DOI -
- Views 54
- Downloads 0
Prescription Patterns of Psychotropic Drugs and Non-Adherence in Patients with Schizophrenia
Context - Polypharmacy, rational or irrational, in psychiatry is a common phenomenon. One needs to understand various clinical and pharmaco-socio-economic factors associated to deal with it. Non adherence to treatment in...
Metastatic Sebaceous Carcinoma– A Rare Presentation
Sebaceous carcinoma is one of the rare malignancies encountered in clinical practice. They are very aggressive because of their pagetoid type of spread and also because of vascular and perineural invasion. With these fea...
Recurrent Infiltrating Angiolipoma – Complete Response to Radiation- A Case Report
Angiolipoma of thigh is a benign tumor of adipose tissue, so far only few cases have been reported. We are reporting acase with complete response to radiation. A female patient of Recurrent Angiolipoma was referred to ou...
Pharmacognostical Study of Kapikacchu (Mucuna Pruriens)
Pharmacognosy is “the study of natural product or their molecules that are useful for their medicinal, ecological, gustatory, or other functional properties.” In other words, pharmacognosy encompasses the knowledge of th...
To Make a Definitive Diagnosis of Obstructive Sleep Apnea in Snorers by Polysomnography Attending A Tertiary Care Hospital
Introduction: Obstructive Sleep Apnoea (OSA) is one the most potential causes of increased upper airway resistance resulting in snoring , so needs to be confirmed and and properly managed. Polysomnography is considered a...