Volume : IV, Issue : IX, September - 2014

Outcomes of Intertrochanteric Fractures Treated with Long Proximal Femur Nail done without Distal Locking

Rohan Parwani

Abstract :

Background: Proximal femur nailing has become the standard of care in treatment of intertrochanteric femur fractures. These fractures often occur in patients having multiple comorbodities such that anesthesia time becomes valuable. We investigated our belief that stability provided to nail by the anatomically narrow portion of femoral medullary canal called isthmus is sufficient to facilitate fracture healing. The time saved with avoiding distal lock saves valuable anesthesia time. Materials and Methods: 50 patients with intertrochanteric femur fractures were treated with long proximal femoral nail without distal locking. Distal locking was omitted when a tight fit of an unreamed PFN was felt in the medullary canal by the operating surgeon. The results were evaluated with Modified Harris Hip Score and analyzed with appropriate statistical method. Results: 40 patients were followed up clinically and radiologically for 2 years. Conclusions: Omission of distal locking in select patients doesn’t affect the outcome of fracture fixation. It does significantly shorten the duration of surgery with minimal additional complications in select patients

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Rohan Parwani Outcomes of Intertrochanteric Fractures Treated with Long Proximal Femur Nail done without Distal Locking Indian Journal of Applied Research, Vol.4, Issue.9 September 2014

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