PROXIMAL FEMORAL NAILING: RESULTS IN INTERTROCHANTERIC FRACTURES

Sunil Kumar; Pulkesh Singh; Javed Ali

Volume : VI, Issue : VI, June - 2016

PROXIMAL FEMORAL NAILING: RESULTS IN INTERTROCHANTERIC FRACTURES

Sunil Kumar, Pulkesh Singh, Javed Ali

Abstract :

 OBJECTIVES: – The Prospective study was done to access the role and effect of early weight beå after stabilization with proximal femoral nailing (PFN) in Intertrochanteric fractures. MATERIAL AND METHODS– Study was conducted between August 2013 and July 2015 on 100 patients admitted in the department of orthopaedics with intertrochanteric fractures. The final outcome measurement was done according to Harris Hip Score of functional assessment. RESULTS: – As per Evan’s classification there were 10 type I fractures, 28 type II fractures, 32 type III fractures, 18 type IV fractures and 12 type V fractures. Functional outcome was evaluated by Harris hip score (HHS). 84% cases had excellent score while 10% cases had good score. The results were fair in 6% cases. CONCLUSIONS: – PFN requires small exposure as compare to dynamic hips screw; hence there is shorter operative time, no blood loss in closed PFN, with markedly reduced morbidity. In Evans type III and Type IV fractures, intramedullary implant should be preferred.