DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20204582

Functional outcome of proximal femoral nailing for unstable intertrochanteric fracture in elderly

Ankit Jose, Edward Nazareth, Vivian Roshan D'Almedia, Mohan Kumar Challahalli Rudregowda

Abstract


Background: This study is intended to analyse the functional outcome of proximal femoral nailing (PFN) for unstable intertrochanteric fractures in elderly.

Methods: The data was collected from the 35 patients with unstable intertrochanteric femur fracture who were subjected to PFN from 2015 to 2018. All patients were followed up at 3 months and 6 months after the operation to check the functional outcome based on harris hip score (HHS) and complication if any.

Result: In 35 patients, 1 patient was lost to follow-up and 34 patients were followed-up at 3 months and 6 months. All patient’s union was achieved at 3 and 6 months follow up. The cause of fractures was trivial fall in all 35 patients. No incidence of non-union and delayed union was reported. Functional outcome was rated as per HHS, we got excellent results in 20 cases, good in 10, fair in 03 and poor in one patient at end of 6 months.

Conclusions: PFN provides stable fixation and early post-operative mobilization with fracture union especially complex proximal femoral fractures which includes unstable, communited, reverse oblique fractures and fractures in osteoporotic bones. PFN has shown excellent results in our study.


Keywords


Proximal femur nailing, Intertrochanteric fractures, Harris hip score

Full Text:

PDF

References


Kaufer H. Mechanics of the Treatment of Hip Injuries. Clin Orthop. 1980;146:53-61.

Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two intertrochanteric hip fractures. A retrospective and prospective study. J Bone Joint Surg. 1979;61A:216-21.

Kaufer H, Mathews LS, Sonstegard D. Stable Fixation of Intertrochanteric Fractures. J Bone Joint Surg. 1974;56A:899-907.

Koot VCM, Kesselaer SMMJ, Clevers GJ, Hooge P, Weits TW. Evaluation of Singh Index for Measuring Osteoporosis. J Bone Joint Surg. 1996;78B:831-4.

Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51(4):737-55.

Marchetti P, Binazzi R, Vaccari V, Girolami M, Morici F, Impallomeni C, Commessatti M, Silvello L. Long-term results with cementless Fitek (or Fitmore) cups. J Arthroplasty. 2005;20(6):730-7.

Sahlst rand T. The Richards Compression and Sliding Hip Screw System in the Treatment of Intertrochanteric Fractures. Acta Orthop Scand. 1974;5:213-9.

Wei Ting Lee, Diarmuid Murphy, Fareed HY Kagda, Joseph Thambiah. Proximal femoral locking compression plate for proximal femoral fractures. J Orthopaed Surg. 2014;22(3):287-93.

Uzun M, Erturer E, Ozturk I, Akman S, Seckin F, Ozcelik IB. Long term radiographic complications following treatment of unstable intertrochanteric femoral fractures with the proximal femoral nail and effects on functional results. Acta Orthop Traumatol Turc. 2009;43:457-63.