Title: Comparison between Functional Outcome of Intertrochanteric Fractures treated with Trochanteric Fixation Nail versus short Proximal Femoral Nail
Authors: Dr Anandsrinivas A.Sowlee, Dr R.Neelakrishnan, Dr V.Barathiselvan, Dr A.T.Shanmuga Raja, Dr V. Manooj Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.22
Introduction: Intertrochanteric fractures are one of the most common fractures of the hip and have been recognized since the time of Hippocrates. The incidence of intertrochanteric fracture is rising because of increasing number of senior citizens with osteoporosis and also the increasing number of road traffic accidents. For stable intertrochanteric fractures dynamic hip screw was accepted as the gold standard. For unstable fractures intramedullary has been preferred recently. In this study we look to compare two types of intramedullary nails for unstable intertrochanteric fracture. Aim of the Study- To compare the functional outcome of Intertrochanteric fractures treated with Trochanteric fixation nail versus Short proximal femoral nail. Materials & Methods- A prospective study done at the Department of Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University, Chidambaram. Patient with Intertrochanteric fractures were treated with TFN and short PFN. Follow up was done at regular intervals for a period of 18 months. Results & Conclusion- During the period of study, fifty patients with unstable Intertrochanteric fracture were admitted. Out of which 30 patients were treated with TFN and 20 patients were treated with short PFN. Average age of patients was 65.07 years for patients treated with TFN and 68.50 years for patients treated with PFN.Overall mean time of radiological fracture union was 15 weeks (range 13-18). Mean hospital stay was 13 days (range 12 to 18 days).Average Modified Harris Hip Score was 88.25 for patients treated with TFN and 89.25 for patients treated with PFN. In our study, Patients with Unstable intertrochanteric fracture treated with TFN & PFN had results that were comparable with each other but the difference was that when the fracture was extending below lesser trochanter trochanteric fixation nail could not be used. 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