Functional outcome of intertrochanteric fracture femur managed with cephalomedullary nail

Dr.Subhash Rawate; Dr.R.K.Dulani

Volume : VIII, Issue : III, March - 2019

Functional outcome of intertrochanteric fracture femur managed with cephalomedullary nail

Dr. Subhash Rawate, Dr. R. K. Dulani

Abstract :

Background: Nearly 50% of fractures around hip are intertrochanteric fracture.Till 1980�s the fractures were treated with continuous skeletal traction of 6 week followed by hip spica. With the advancement of implants Proximal femoral nailing (PFN) is now using as a gold standard for management of intertrochanteric fractures. Aims and Objectives: To study the functional outcome of fracture intertrochanteric fractures managed with proximal femoral nailing according to modified Harris Hip Score. Material and Method: A prospective study over 44 patients of fracture intertrochanteric fracture femur treated with proximal femoral nailing done from October 2015 to September 2017 on Govt Medical College Rajnandgaon (C.G.) Results: We have done prospective study of fracture intertrochanteric femur treated with proximal femoral nailing over 44 patients.In our study male patients were predominant (64%) in number. Most common fracture pattern was A2.2 type.64% of patients started partial weight be� within <6 weeks of surgery. In our study59% of patients achieved excellent result. Conclusion: Proximal femoral nailing takes less time and the patient can be mobilised fast postoperatively as well. Proximal femoral nail should always considered for the management of intertrochanteric fractures in young as well as elderly patients who have multiple pre–existing illnesses.