Volume : IV, Issue : XI, November - 2015

Study of subtrochanteric fracture of femur treated with proximal femoral nail

Dr. Parag Tank, Dr. Romin Sanghavi

Abstract :

 Background : Subtrochanteric region is junction between cortical and cancellous bone, thus healing is not as good as in I/T fracture (cancellous) and non unions are frequent. The subtrochanteric region, being surrounded by large muscles is a stressful region even during rest. Due to medial position of head of femur, large stress is concentrated on medial and posterior cortex of femur, hence also the frequent site of combination, and thus creating unstable fracture patterns. Aims : To study the results of proximal femoral nailing & to assess the functional outcome as per harries hip scoring system in the treatment of subtrochanteric fractures of femur Material & methods : Retrospective study of 40 patients with subtrochanteric fractures of femur treated with PFN and evaluated with functional Harris Hip Score at interval of one year. Results : We have 33 males and 7 females with mean age of 47 years. We found Seinsheimer type IIIa fracture in majority of cases. On postoperative follow–up, we found two non–unions, two lag screw back out, two lag screw eakage and rest shows good to excellent outcome on Harris Hip Score. Conclusion : PFN is a closed nailing procedure which achieves a Biological Fracture Fixation with minimal blood loss, preserving the fracture hematoma and helping easy healing of the unstable subtrochanteric femoral fracture in young and elderly age groups.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Parag Tank, Dr. Romin Sanghavi / Study of subtrochanteric fracture of femur treated with proximal femoral nail / International Journal of Scientific Research, Vol : 4, Issue : 11 November 2015

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