Study of results of trochantric femoral nail (TFN) for the treatment of Inter trochanteric fracture of Femur

Dr Pradeep Choudhari; Dr Sachin Chhabra; Dr Ankit Alawa

Volume : IV, Issue : VIII, August - 2015

Study of results of trochantric femoral nail (TFN) for the treatment of Inter trochanteric fracture of Femur

Dr Pradeep Choudhari, Dr Sachin Chhabra, Dr Ankit Alawa

Abstract :

The Trochantric femoral nail (TFN) is a new device designed for the treatment of the trochantericfemoral fracture. All patients presenting to our department with Inter trochanteric fractures were treated operatively using theTFN.A total of50patients were included in the study and were followed up to fracture union or fixation failure. A case documentation form and follow–up form were used to collect the data which included the Salvati and Wilson assessment of hip function. All fracturesunited at the time of final follow–up. The femoral neckscrews cut throughin 3 patients two of them requiring removal. Haematoma formation in 1 patient inpatient,Superficial wound infection1 patient andDelayed wound healingin 1 patient Eighty –eight percent of the patients at the final follow–up scored>20 points (out of 40 points), using the Salvati and Wilson hip function scoring system. According to the patients and/or their careers, outcome was described as good or very good in 94% of the patients and the level of function was similar to pre–injury level in80% of the patients. We conclude that theTFNis a useful device in the treatment of the Inter trochanteric femoral fracture.It is a relatively easy procedureand a biomechanically stable construct allowing early weight be�.