scholarly journals Pelvic Migration of Lag Screw Following Fixation of an Intertrochanteric Femur Fracture with Proximal Femoral Nail

2013 ◽  
Vol 3 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Serkan Akcay ◽  
Ismail Safa Satoglu ◽  
Haluk Cabuk ◽  
Kaya Turan
Keyword(s):  
Femur Fracture ◽  
Proximal Femoral Nail ◽  
Lag Screw ◽  
Femoral Nail ◽  
Intertrochanteric Femur Fracture

scholarly journals EVALUATION FUNCTIONAL OUTCOME OF HELICAL FIXATION PFN A2 IN PROXIMAL FEMUR FRACTURE IN ELDERLY

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Sawai Singh ◽  
Ram Chander
Keyword(s):  
Comparative Study ◽  
Functional Outcome ◽  
Proximal Femur ◽  
Femur Fracture ◽  
Proximal Femoral Nail ◽  
Proximal Femur Fracture ◽  
Mortality And Morbidity ◽  
Femoral Nail ◽  
Proper Training ◽  
Intertrochanteric Femur Fracture

Background: Intertrochantric fractures are the most frequently operated fractures and has the highest mortality and morbidity rates. Evaluation functional outcome of helical fixation pfn a2 in proximal femur fracture in elderly Methods: Hospital based prospective randomized comparative study conducted on 30 patients with  Close  stable &unstable intertrochanteric femur fracture. Results: As per HHS, we have found that 76.67% cases (23) under excellent category and 20.00% (6) good and 3.33% (1) fair of HHS. Conclusion: We can conclude that the PROXIMAL FEMORAL NAIL ANTIROTATION2 is after proper training and technique a safe and easy implant option for treatment of complex peritertrochanteric fractures. Keywords: HHS, Femur, fracture

scholarly journals Study on functional outcome and mechanical failure in intertrochanteric femur fracture treated with proximal femoral nail antirotation-II

2021 ◽  
Vol 7 (2) ◽  
pp. 350-358
Author(s):  
Dr. Siddharth Bhaginath Jadhav ◽  
Dr. Rahul Ajit Damle ◽  
Dr. Janmajay Dalal ◽  
Dr. Saumitra Dubey ◽  
Dr. Abhijeet Nalkar ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Femur Fracture ◽  
Mechanical Failure ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Proximal Femoral Nail Antirotation ◽  
Intertrochanteric Femur Fracture

Dynamic Hip Screw in Comparison with Proximal Femoral Nail Technique in Intertrochanteric Femur Fracture Patients

2021 ◽  
Vol 15 (11) ◽  
pp. 2966-2968
Author(s):  
Mudir Khan ◽  
Muhammad Siraj ◽  
Abbas Ali
Keyword(s):  
Blood Loss ◽  
Femur Fracture ◽  
Dynamic Hip Screw ◽  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
Femoral Nail ◽  
Duration Of Surgery ◽  
Hip Screw ◽  
Intertrochanteric Femur Fracture ◽  
Better Than

Background: Hip bone fractures are the main cause of concern on a worldwide level. The main two operative techniques involve dynamic hip screw and proximal femoral nail technique. Aim: To compare the dynamic hip screw with proximal femoral nail technique in intertrochanteric femur fracture patients. Study design: Retrospective study Place and duration of study: Department of Orthopaedics, Khyber Teaching Hospital, Peshawar from 1-7-2019 to 30-12- 2021. Methodology: Seventy patients were enrolled and they were divided in two groups; Group 1 patients were operated with dynamic hip screw (DHS) while group 2 patients were operated by proximal femoral nail (PFN) technique. The detailed pre and post-operative clinical information including blood loss, incision size, Harris hip score and rate of complication was documented. Results: The mean age of patients was 58.62±6.71 year with more male patients than females. The Harris hip score of proximal femoral nail technique was better than distal hip screw. The incision length of distal hip screw cases was 7.61±0.89 in comparison to 4.72±0.73 in proximal femoral nail technique cases with a longer duration of surgery and inter-operative blood loss in case of distal hip screw cases. Conclusion: Proximal femoral nail technique is comparatively better than the distal hip screw procedure. Keywords: Proximal femoral nail technique, distal hip screw, Hip fracture

scholarly journals Critical analysis of factors determining mechanical failures in proximal femoral nailing

2019 ◽  
Vol 5 (2) ◽  
pp. 275 ◽  
Author(s):  
Karthik Ramachandran ◽  
K. K. Arvind Manoj ◽  
A. Vishnu Sankar
Keyword(s):  
Failure Rate ◽  
Mechanical Failure ◽  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Excellent Outcome ◽  
Lag Screw ◽  
Femoral Nailing ◽  
Femoral Nail ◽  
Proximal Femoral Nailing

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are one of the commonest fractures encountered in elderly population. Though there are various implants, proximal femoral nail has been the standard choice for management of unstable fractures. Inspite of its biomechanical advantages, various complications like screw cut out, Z effect, reverse Z effect does occur in proximal femoral nailing. The aim of the study is to analyse various factors determining the mechanical failures in patients operated with proximal femoral nail.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study conducted in our institution from June 2014 to May 2018. The study included 72 patients with unstable intertrochanteric fractures treated with proximal femoral nail. All patients were followed for average period of 2 years. Functional outcome was assessed using Harris Hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among the patients<strong> </strong>33%<strong> </strong>had excellent outcome. 42% had good and 14% had fair outcome. 11% of cases ended with poor outcome. Mechanical failure rate was less in patients with positive medial cortical support (PMCS) and in patients with tip apex distance difference between antirotation screw and lag screw (TAD<sub>AR </sub>-TAD<sub>LS</sub>) more than 15 mm. Whereas the difference in the position of lag screw centre had no significant influence in the mechanical failure rate in our study.</p><p class="abstract"><strong>Conclusions:</strong> From our study we like to conclude that the<strong> </strong>fracture reduction with positive medial cortical support and the TAD difference play a major role in determining the incidence of mechanical failure in proximal femoral nailing.</p>

scholarly journals COMPARATIVE STUDY OF HEMIREPLACEMENT ARTHROPLASTY WITH BIPOLAR PROSTHETIC AND PROXIMAL FEMORAL NAIL (PFN) IN UNSTABLE INTERTROCHANTERIC FRACTURE OF FEMURE: INTERVENTIONAL PROSPECTIVE RANDOMIZED STUDY

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Sawai Singh ◽  
Raghuveer Meena
Keyword(s):  
Randomized Study ◽  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
P Value ◽  
Bipolar Group ◽  
Femoral Nail ◽  
Keywords Hip ◽  
Unstable Intertrochanteric Fracture ◽  
Keywords Hip Arthroplasty ◽  
Intertrochanteric Femur Fracture

Background: Intertrochanteric femur fracture incidence has increased due to increased life expectancy and osteoporosis. Methods- The present study was prospectively carried out in 60 consecutive patients of Fracture Intertrochanter Femur and treated with Hemiarthroplasty with Cemented Bipolar Prosthesis and Proximal Femoral Nail. Results: The age of the patients in present study was in range of 60 - 80 years. There was a preponderance of female in present study in both groups. The mean duratioin of surgery in the Bipolar group (91.24±9.21Minutes) was much More That In PFN (53.12 ±6.02Minutes) Group. All patients of Bipolar group was discharged between 4 to 9 days and in PFN group 4 to 12 days after surgery. The average harris hip score in PFN group is 87.32±4.13 and in Bipolar group is 85.02±7.92. Final functional outcome were better in PFN group (P value 0.01) than by Bipolar group and significant. Conclusion: The outcomes of the stable fractures treated with either Bipolar or PFN were similar. Unstable comminuted fractures treated with Bipolar showed significantly better outcomes with all patients having good results. Keywords: Hip Arthroplasty, PFN, Complication

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