A comparative study of functional outcome of short proximal femoral nail with long proximal femoral nail in proximal femoral fractures

Authors

  • R. Selvaraj Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chinnakolmbakkam, Tamil Nadu, India
  • K. Nagappan Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chinnakolmbakkam, Tamil Nadu, India
  • Aravind Kumar Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chinnakolmbakkam, Tamil Nadu, India
  • C. Balaji Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chinnakolmbakkam, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20204000

Keywords:

Proximal femoral nail, Short femoral nail, Long femoral nail

Abstract

Background: Trochanteric femoral fractures are often seen in patients aged they can be caused by high-energy or low-energy trauma or may be pathological. Particularly in the elderly, hip fractures are a major cause of increased mortality and morbidity. Because of the decreased physical capacity, concomitant systemic diseases, and increased vulnerability to environmental dangers, even low-energy trauma can cause unstable femoral trochanteric fractures in this age group. Compare the functional outcome of the short proximal femoral nail with a long proximal femoral nail in proximal femoral fractures.

Methods: This retrospective study was conducted in the Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chengalpattu Dist., Tamil Nadu, India. (KIMS & RC). Palmer/Parker score is obtained for the functional outcome of the short proximal femoral nail with a long proximal femoral nail in proximal femoral fractures.

Results: It is concluded from our study that proximal femoral nailing is an attractive and suitable implant for Proximal Femoral Fractures and its use in unstable intertrochanteric fractures is very encouraging.  

Conclusions: The database of our retrospective study regarding age & sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.

Author Biography

R. Selvaraj, Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chinnakolmbakkam, Tamil Nadu, India

assistant professor , annamalaiuniversity, chidambaram

References

Boyd HB, Griffin LL. Classification and treatment of trochanteric fractures. Archi Surg. 1949;58(6): 853-66.

Cheng CL, Chow SP, Pun WK, Leong JC. Long-term results and complications of cement augmentation in the treatment of unstable trochanteric fractures. Injury. 1989;20(3):134-8.

Dimon JH, Hughston JC. Unstable intertrochanteric fractures of the hip J Bone Joint. Surg. 1967;49(3):440-50.

Evans E. The treatment of trochanteric fractures of the femur. J Bone Joint Surg. 1949;31B:190-203.

Goldhagen PR, O'Connor DR, Schwarze D, Schwartz E. A prospective comparative study of the compre ssion hip screw and the gamma nail. J Orthopae Traum. 1994;8(5):367-72.

Harrington KD. The use of methylmethacrylate as an adjunct in the internal fixation of unstable comminuted intertrochanteric fractures in osteoporotic patients. J Bone Joint Surg. 1975; 57A:744-50

Hopkins CT, Nugent JT, Dimon JH. Medical displacement osteotomy for unstable intertrochanteric fractures. Clin Orthop. 1989; 245:169-172.

Huber SM, Heining SM, Euler E. Pertrochanteric fracture fixation: photoelastic stress measurement comparing dynamic hip screw, y-nail, and proximal femur nail. J Bone Joint Surg. 1997;79-B (Suppl II):166.

Lustenberger A, Bekic J, Ganz R. Rotational instability of trochanteric femoral fractures secured with the dynamic hip screw: a radiologic analysis. Unfallchirurg. 1995;98:514-7.

Madsen JE, Naess L, Aune AK, Alho A, Ekeland A, Strømsøe K. Dynamic hip screw with trochanteric stabilizing plate in the treatment of unstable proximal femoral fractures: a comparative study with the Gamma nail and compression hip screw. J orthopa Traum. 1998;12(4):241-8.

Sadowski C, Lübbeke A, Saudan M, Riand N, Stern R, Hoffmeyer P. Treatment of reverse oblique and transverse intertrochanteric fractures with use of an intramedullary nail or a 95 screw-plate: a prospective, randomized study. J Bone Joint Surg. 2002;84(3):372-81.

Sarmiento A. Willams EM. The unstable intertrochanteric fracture: treatment with a valgus osteotomy and I-beam nail-plate. J Bone Joint Surg. 1970;52A-1309-18.

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Published

2020-10-22

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Original Research Articles