Title: Prospective Study of the Effectiveness of Intramedullary Fixation of Unstable Peritrochanteric Fractures with Interlocking Proximal Femoral Nail
Authors: Alfred Sathiya Sekar, Mohamed Zubair, Noorul Ameen, Praveena, Minu
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.93
Abstract
Background: Femur is the longest and strongest bone in the body and one of the principal load bearing in the lower extremity. Fracture of this bone may result in prolonged morbidity and extensive disability unless the treatment is appropriate. Among fractures of femur, Trochanteric fractures are associated with substantial morbidity and mortality. Aim of this study to assess the effectiveness of Intramedullary fixation of unstable peritrochanteric fractures with interlocking proximal femoral nail.
Methods: It is a prospective study involving 21cases.All the cases enrolled in this study were from the Department of Orthopaedics, kanyakumari Govt medical college. Boyd and Griffin classification and Harris hip scoring is used.
Results: Among 21 cases, 20 patients came for regular followup. Out of 20 cases 14 were males 6 were females. After the follow up period of 10.75 months it was observed that 1 case developed superior cut out of lag screw with severe varus deformity and another two cases developed varus deformity which is less than 10% and another 3 cases developed abductor lurch. All the other patients were back to their pre injury occupation.
Conclusion: PFN proved as a better implant with adequate surgical technique. The requirement and followup based changes in design of PFN decrease the complication rates and increases all the postulated advantages of Intramedullary devices used in the treatment of trochanteric fractutres.References
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