Volume : IX, Issue : II, February - 2019

Evaluation of Clinical Outcome of Unstable Intertrochanteric Fractures Treated By Proximal Femoral Nail Vs. Proximal Femoral Locking Compression Plate

Dr. Atul W Patil, Dr. Sharad S Salokhe

Abstract :

Introduction: Confusion still continues in unstable intertrochanteric fractures of femur fixation regarding which implant is better. In this study we compare the clinical outcome of these type of fractures treated by now days routinely used short proximal femoral nails with that of newly introduced PFLCP. Materials and method: This is randomized prospective comparative study of 48 patients in comparable two study groups; the first group of 24 patients operated with short proximal femoral nail ( group 1 n=24) and second group of patients operated with proximal femoral locking compression plate ( group 2 n=24). Patients were followed for at least one year or until union. Results: More intra operative difficulties were encountered during PFLCP procedure than PFN. Longer skin incision, extensive soft tissue dissection, more operative time, greater blood loss these factors in PFLCP group made this group to be associated with higher incidences of superficial and deep infection. Violation of fracture hematoma, more disturbances at local biology in PFLCP group took more time to heal. Conclusion: Although both implants are effective in management of unstable patterns of intertrochanteric fractures each has its own advantages or disadvantages but PFN has less intra operative difficulties and better post operative rehabilitation than PFLCP though not statistically significant functional and anatomical outcomes were found to be better with PFN.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

EVALUATION OF CLINICAL OUTCOME OF UNSTABLE INTERTROCHANTERIC FRACTURES TREATED BY PROXIMAL FEMORAL NAIL VS. PROXIMAL FEMORAL LOCKING COMPRESSION PLATE, Dr. Atul W Patil, Dr. Sharad S Salokhe INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-2 | February-2019

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