scholarly journals OUTCOME ANALYSIS OF PROXIMAL FEMORAL NAIL IN STABLE INTERTROCHANTERIC FEMUR FRACTURES

2015 ◽  
Vol 04 (15) ◽  
pp. 2553-2560
Author(s):  
Suneet Tandon ◽  
Mayank Vijayvargiya ◽  
Abhishek Pathak
2018 ◽  
Vol 11 (2) ◽  
pp. 101-105
Author(s):  
Mehmet Birol Ilgın ◽  
Ahmet Nadir Aydemir ◽  
Murat Songür ◽  
Selçuk Keser ◽  
Ahmet Bayar

2017 ◽  
Vol 11 (3) ◽  
pp. 36-41
Author(s):  
Kumar M ◽  
◽  
Akshat V ◽  
Kanwariya A ◽  
Gandhi M ◽  
...  

Author(s):  
Wajahat Ahmad Mir ◽  
Mohmad Nawaz Rather ◽  
Rasiq Rashid

<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>


Author(s):  
Manish Raj ◽  
S. P. S. Gill ◽  
Akashdeep Singh ◽  
Ajay Kumar Rajput ◽  
Santosh Kumar Singh

<p class="abstract"><strong>Background:</strong> The purpose of the present study was to evaluate the theoretical advantages of the proximal femoral nail antirotation in cases of intertrochanteric fractures and also whether it actually alters the eventual functional outcome of the patient.</p><p class="abstract"><strong>Methods:</strong> The present study includes a total 30 patients with intertrochanteric femur fractures managed with proximal femoral nail antirotation between December 2014 to November 2016. In all patients similar standard physical rehabilitation therapy were followed. All complications including intra and postoperative were assessed and recorded. The patients were followed up for over 24 months. Functional outcome was assessed using the Harris hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> All of 30 cases of intertrochanteric fracture got united with good anatomical position and average time of fracture union was 14 weeks. Postoperative complications included 2 degree varus deformity (n=1, 3%), calcification at tip of greater trochanter (n=4, 13%), sensitivity over TFL (n=2, 7%), medial thigh pain (n=3, 10%). 10 patients developed femoral shortness (mean=0.22 cm, range from 0-1 cm). Average harris hip score at the end of study showed mean value of 87, ranged from 65 to 94 with almost 22 (73%) patients showing excellent or good outcome.</p><p class="abstract"><strong>Conclusions:</strong> Proximal femoral nail antirotation (PFNA) represents a significant treatment option in management of intertrochanteric fractures with low complication rate.</p>


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