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 101
- Downloads 0
Functional Outcome Of Proximal Humerus Fracture With Philos Plating
Background: Fractures of the proximal humerus represent approximately 4% of all fractures and 26% of humerus fractures. Three and four-part fractures of Neer's Classificaton (13-16% of proximal humerus fractures) have be...
Comparison Of Clinical Examination And Mri Findings With Arthroscopy Findings Of Meniscal Lesions Occurring In Acl Deficient Knees
AIM: To compare clinical examination and MRI findings with arthroscopy findings of meniscal lesions occurring in anterior cruciate ligament deficient knees and to determine the incidence of meniscal lesions in Acl defici...
Occurrence Of Closed Bi-Malleolar Fractures Of Ankle
This study has been done to know the commonest causes of occurrence for bI malleolar fractures of ankle joint. In this study 50 patients of fresh bI malleolar fractures of ankle joint studied between May 2017 to August 2...
Functional And Radiological Outcome Of Comminuted Intra-Articular Distal Radius Fractures Treated Withlow Profile Pre-Contoured 2.4 Mm Volar Locking Plates: A Retrospective Study
Background: Comminuted intra-articular fractures of the adult distal radius are increasing in incidence due to increasing high velocity trauma. Conventional closed reduction techniques with or without K –wire fixation of...
Management Of Penetrating Injury To The Angle Of Mandible Region Caused By Airgun
Penetrating injuries to the maxillofacial region are life-threatening and deserves emergency management under detailed evaluation of the site. Early diagnostic workup to localize the site of the pellet and early explorat...