Unstable Intertrochanteric Fractures Treated With Proximal Femoral Nail Antirotation-II: An Evaluation Of Functional Outcome In The Elderly
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background: The incidence of unstable intertrochanteric fractures is increasing due to increased life span. These fractures require stable fixation and early mobilisation to reduce the morbidity and mortality. Extra-medullary implants are biomechanically inferior in these cases. The Proximal Femoral Nail Antirotation–II (PFNA-II) is an intra-medullary nail system designed for such fractures in the Asian population. Materials and methods:63 patients with Boyd and Griffin type 2, 3 and 4 unstable intertrochanteric fractures who presented to us between January 2016 and March 2017 were treated with PFNA-II. The functional outcome of these patients was assessed using the Harris Hip Score at 1 year follow up. The ambulatory status of these patients was also assessed at the end of 1 year. Results: At the end of 1 year follow up, 55 (87.3%) patients had excellent to good outcomes as assessed by the Harris Hip Score. 61 (96.8%) patients were ambulatory with or without walker aid. 1(1.6%) patient had cut out of the helical blade and hence, had a poor outcome. Conclusion: We conclude that the treatment of unstable intertrochanteric fractures with PFNA-II nail system leads to excellent functional outcome and regaining the pre-fall ambulatory status with minimal complications.
Authors and Affiliations
Keshav S Shenoy, Santosh S Jeevannavar, prasanna Baindoor
Keywords
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