scholarly journals A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation in the treatment of intertrochanteric fractures in elderly patients with osteoporosis: a minimum follow-up of 3 years

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Hui Zhang ◽  
Xiaoxiao Zhu ◽  
Genwang Pei ◽  
Xianshang Zeng ◽  
Nan Zhang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Retrospective Analysis ◽  
Proximal Femoral Nail ◽  
Intertrochanteric Fractures ◽  
Femoral Nail ◽  
Intertan Nail

scholarly journals INTERTAN nail versus proximal femoral nail antirotation-Asia for intertrochanteric femur fractures in elderly patients with primary osteoporosis

2017 ◽  
Vol 45 (4) ◽  
pp. 1297-1309 ◽  
Author(s):  
Hui Zhang ◽  
Xianshang Zeng ◽  
Nan Zhang ◽  
Dan Zeng ◽  
Ping Xu ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
Primary Osteoporosis ◽  
Femur Fractures ◽  
Femoral Nail ◽  
Increased Risk ◽  
Proximal Femoral Nail Antirotation ◽  
Intertan Nail

Objectives To compare the long-term functional and radiographic outcomes of the proximal femoral nail antirotation-Asia (PFNA-II) and INTERTAN nail (IT) in the management of intertrochanteric femoral fractures (IFFs) (AO/OTA Type 31A1.1-A2.3) in elderly patients with primary osteoporosis. Methods A retrospective comparative study was performed in our institution. From January 2009 to March 2012, 243 patients with osteoporosis (243 hips) with IFFs (AO/OTA Type 3.1A1.1-A2.3) underwent repair with either a PFNA-II or IT. Follow-up assessments were performed 1, 3, 6, 9, and 12 months postoperatively and every year thereafter. All implant position changes were noted. Patient-related functional outcomes were evaluated based on the Harris hip score. Results In total, 174 patients with osteoporosis (IT, n = 86; PFNA-II, n = 88) were evaluated during a mean follow-up period of 40 months (range, 38–60 months). An increased risk of femoral shaft fracture after implant removal was observed at month 9 of follow-up in 0.0% and 4.4% of the IT and PFNA-II groups, respectively. This difference remained over time with rates of 1.1% and 6.8%, respectively, at the last follow-up. Conclusion The IT nail appears to be a reliable implant in the management of IFFs (AO/OTA Type 3.1A1.1-A2.3) in elderly patients with primary osteoporosis.

scholarly journals Functional outcome of intertrochanteric fractures in elderly patients with proximal femoral nail: retrospective study

2019 ◽  
Vol 5 (4) ◽  
pp. 619
Author(s):  
Angatha Kumar Murugesan ◽  
Rajesh Govindasamy ◽  
Patel Yahya Ismail
Keyword(s):  
Retrospective Study ◽  
Elderly Patients ◽  
Fracture Pattern ◽  
High Rate ◽  
Proximal Femoral Nail ◽  
Intertrochanteric Fractures ◽  
Non Union ◽  
Femoral Nail ◽  
Varus Displacement ◽  
One Year

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are disabling injuries in elderly population and they are the most frequently operated fracture type which has the highest postoperative fatality rate of all surgically treated fractures. The objective of the study was to evaluate the functional outcomes of intertrochanteric fractures treated with proximal femoral nail (PFN) in elderly patients.</p><p class="abstract"><strong>Methods:</strong> A retrospective study of 24 patients, all above 60 years treated with PFN between March 2016 to April 2018. Data collected include age, sex, mechanism of injury, type of fracture pattern according to Boyd and Griffin’s classification. Patients were followed up at intervals of 6, 12, 18 and 24 weeks and final results were evaluated using Kyle’s criteria at the end of 24<sup>th</sup> week. All patients had a minimum follow up of one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 24 patients, 10 males, 14 females with mean age of 75.77 years (range: 60-82 years). The fracture union rate was 96% and average union time was 14.2 weeks. Our results were excellent (80%), good (8%), fair (8%) and poor (4%). Our complications include thigh pain (20%) shortening (20%), varus displacement (8%), knee and hip stiffness (8%), z effect (4%) and non-union (4%).</p><p class="abstract"><strong>Conclusions:</strong> PFN is a reliable fixation in intertrochanteric fractures only after good intraoperative reduction leading to high rate of bone union and with reduced rate of implant failure or complications.</p>

scholarly journals Functional and radiological outcome of osteosynthesis using proximal femoral nail antirotation II system in intertrochanteric femoral fractures

2021 ◽  
Vol 7 (2) ◽  
pp. 267
Author(s):  
Wajahat Ahmad Mir ◽  
Mohmad Nawaz Rather ◽  
Rasiq Rashid
Keyword(s):  
Morbidity And Mortality ◽  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
Common Source ◽  
Intertrochanteric Fractures ◽  
College Hospital ◽  
Femur Fractures ◽  
Femoral Nail ◽  
Proximal Femoral Nail Antirotation

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are relatively common injuries in adults and a common source of morbidity and mortality among the elderly. Incidence of fractures is increasing because the general life expectancy of the population has increased significantly during the past few decades. Stable fixation and early mobilization is needed in these fractures to reduce the morbidity and mortality. Extra-medullary implants are biomechanically inferior in these cases. The proximal femoral nail antirotation-II (PFNA-II) is an intra-medullary nail system designed for such fractures. The purpose of this study was to assess the results and complications of PFNA-II in intertrochanteric femur fractures.</p><p class="abstract"><strong>Methods:</strong> After seeking approval from institutional Ethical committee, this study was conducted on 30 patients attending our emergency department with intertrochanteric femur fractures at SKIMS Medical College Hospital Bemina, Srinagar from February 2018 to June 2019. The patients were treated with proximal femoral nail antirotation-II. Follow up was done at 2, 6, 12 and 24 weeks.  The functional outcome was assessed at 6 months follow up using the Harris Hip Score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Based on the Harris hip score, 18 (60%) patients had excellent results, 10 (33%) had good results and 2 (7%) had Fair results. None of the patients had poor result. Average time to union was 12.27 weeks.</p><p class="abstract"><strong>Conclusions:</strong> This study found the PFNA-II to be a versatile, easy to use and dependable implant for stable as well as unstable intertrochanteric fractures. PFNA II is distinct advance over the previous methods of treatment, though it has an initial learning curve.</p>

OUTCOME ANALYSIS OF PROXIMAL FEMORAL NAIL IN MANAGEMENT OF UNSTABLE INTERTROCHANTERIC FRACTURES

2021 ◽  
pp. 55-56
Author(s):  
Anshul Khare ◽  
Shailandra Pandey ◽  
Aman Agrahari ◽  
Abhishek Pathak ◽  
Sanjiv Gaur
Keyword(s):  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
Outcome Analysis ◽  
Intertrochanteric Fractures ◽  
Average Hospital ◽  
Incision Length ◽  
Femoral Nail ◽  
The Mean ◽  
Mean Time

There is no perfect implant for intertrochanteric fractures. Nowadays Proximal Femoral Nail (PFN) is getting popular in these fractures. In this study we tried to nd and analyse the outcome of using PFN in 20 cases of unstable intertrochanteric fractures which were operated at our centre and completed the follow up till 6 months. These patients were analysed on various intra-operative and post-operative parameters. Functional assessment was done using Harris Hip Score. The mean age of patients in our study was 64 years. Average incision length was around 6.5cm and mean blood loss was 97ml. Average surgery duration was 71 minutes while average hospital stay was 18.1 days. Mean time to union was 14.9 weeks. All cases have achieved union. Varus malalignment was observed in one case. Harris Hip Score showed excellent results in 60% cases and good results in 30% cases. Our study indicates that PFN is a good implant for xation of unstable intertrochanteric fractures. However it superiority over other implants can only be conrmed with larger comparative studies.

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