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
Related Articles
- EP ID EP544325
- DOI -
- Views 110
- Downloads 0
Dynamization for delayed & non-union fractures of femur shaft
Aim- the effects of Dynamization of Non-united & delayed union femoral shaft fractures treated with static Intramedullary nails is studied in this study. Materials & Methods - in a series of 20 cases, during April 2015...
Surgical Options For Reconstruction Of Acetabular Defects In Total Hip Arthroplasty
Background:Deficiency of the acetabular bone stock is one of the major problems in revision total hip arthroplasty and certain primary total hip arthroplasty. Revision procedures are associated with the management of var...
Effectiveness Of Transcutaneous Electrical Nerve Stimulation And Interferential Electrotherapy In Adhesive Capsulitis
A total of 50 subjects were randomly allocated to receive (i) trancutaneous electrical nerve stimulation(n=25) (ii) interferentialelectrotherapy (n=25) . Subjects in groups (i) and (ii) received 10 sessions of therespect...
Effficacy of elastic stable intramedullary nailing (esin) in diaphyseal fracture of femur of children
Treatment of paediatric femoral fractures has significantly improvised for the last two decadesand is mostly in favour of elastic stable intramedullary nailing (ESIN) now a days. It was Ligier et al who first developed t...
Locked Compression Plating Versus Intramedullary Interlocking Nailing In The Management Of Diaphyseal Humerus Fracture - Randomized Control Trail
With the recognition of the role of vascularity and soft tissue in fracture healing, Locking Compression Plates were developed. LCP leave minimal footprints on the surface of bone in comparison to conventional plates....