Assessment of the Complication and Radiological Outcome of Proximal Femoral Nailing in Unstable Trochanteric Fractures

2019 ◽  
Vol 10 (11) ◽  
pp. 1480
Author(s):  
Mohammed Irshad Basha ◽  
A. K. Venkatachalam
Keyword(s):  
Radiological Outcome ◽  
Trochanteric Fractures ◽  
Femoral Nailing ◽  
Proximal Femoral Nailing

scholarly journals A comparative study of 70 cases of inter-trochanteric fracture femur treated with dynamic hip screw and proximal femoral nailing

2017 ◽  
Vol 3 (2) ◽  
pp. 293
Author(s):  
Gaurav Singla
Keyword(s):  
Hip Fractures ◽  
Standard Procedure ◽  
Trochanteric Fracture ◽  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Fracture Femur ◽  
Femoral Nailing ◽  
Significant Difference ◽  
Hip Screw ◽  
Proximal Femoral Nailing

<p class="abstract"><strong>Background:</strong> Inter-trochanteric fracture femur is a common and grievous injury, mostly suffered in elderly people. It accounts for approximately half of hip fractures in elderly and out of this, more than 50% of fractures are unstable. In old age, it occurs mostly due to trivial trauma. Various procedures of internal fixation had been proposed as a treatment. DHS considered to be the standard procedure for comparison of outcomes. The advantage of proximal femur nailing fixation is that it provides a more biomechanically stable construct by reducing the distance between hip joint and implant. The goal of this study is to compare the clinical and radio-graphical results of the DHS and PFN for the treatment of Intertrochanteric hip fractures (load bearing vs. load sharing).</p><p class="abstract"><strong>Methods:</strong> Seventy patients (more than 55 years old) presented to Adesh Hospital from March 2015 to November 2015 with trochanteric fracture femur. Patients were treated with osteosynthesis with dynamic hip screw (DHS) and proximal femoral nailing (PFN). The clinical results were compared between the dynamic hip screw and proximal femoral nailing groups of 35 patients each. All surgeries done on traction table and were followed up at regular intervals of 4 weeks, 6 weeks, 8 weeks, 10 weeks, 12 weeks, 6 months and at 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> We observed no statistically significant difference between two groups in view of late &amp; early complications and time to union. We observed significantly better outcomes in PFN group for unstable inter-trochanteric fractures and in unstable fractures reduction loss is significantly lower in PFN group.</p><p><strong>Conclusions:</strong> We concluded that PFN may be the better fixation device for most unstable inter-trochanteric fractures. </p>

scholarly journals Comparative study between proximal femoral nailing versus dynamic hip screw in unstable inter-trochanteric fractures of the femur in adults

2021 ◽  
Author(s):  
Manoj Kumar ◽  
Zubair A. Lone ◽  
M. Farooq Bhatt ◽  
Abdul Basit
Keyword(s):  
Hip Fractures ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Trochanteric Fractures ◽  
Femoral Nailing ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Hip Screw ◽  
Proximal Femoral Nailing ◽  
Unstable Fractures

Background: Hip fractures are more common in elderly among them intertrochanteric fractures are most common, more than 50% fractures are unstable. The proximal femoral nailing (PFN) and dynamic hip screw (DHS) are frequently used modalities from last two decades in both stable and unstable fractures. The DHS has been shown to produce good results but complications are frequent, particularly in unstable inter-trochanteric fracture. The advantage of PFN fixation is that it provides a more biomechanically stable construct with good collapse control. The goal of this study was to compare the clinical and radiographical results of the DHS and PFN for the treatment of inter-trochanteric hip fractures as one is load bearing another is load shearing.Methods: In our study we included 70 inter-trochanteric fractures, out of which 40 were treated with DHS fixation and 30 were treated with PFN, and were followed up at regular intervals of 2 weeks, 8 weeks, 12 weeks, 6 months and annually thereafter.Results: The functional results were assessed with Harris hip score and observed 35% excellent results in DHS group and 63.3% excellent results in PFN group. We observed no statistically significant difference between two groups in view of late and early complications and time to union. We observed significantly better outcomes in PFN group for unstable inter-trochanteric fractures and in unstable fractures reduction loss was significantly lower in PFN group. We observed total duration of surgery was significantly lower in PFN group.Conclusions: We concluded that PFN may be the better fixation device for most unstable inter-trochanteric fractures. 

scholarly journals Determining the association between socio-demographic profile and difficulties encountered during fixation of trochanteric fractures with proximal femoral nailing operated in the department of orthopedics at Dr RPGMC Kangra at Tanda

2021 ◽  
Vol 7 (2) ◽  
pp. 248
Author(s):  
Sunny Dua ◽  
Lokesh Thakur ◽  
Sarvesh Kumar Singh ◽  
Devinder Kumar ◽  
Bhanu Awasthi
Keyword(s):  
Rural Areas ◽  
Demographic Data ◽  
Technical Difficulty ◽  
Trochanteric Fractures ◽  
Demographic Profile ◽  
Femoral Nailing ◽  
Study Association ◽  
One Year ◽  
Time Of Admission ◽  
Proximal Femoral Nailing

<p><strong>Background:</strong> Trochanteric fractures are one of the commonest fractures seen in elderly people. We conducted a study association between socio-demographic profile and difficulties encountered during fixation of trochanteric fractures with proximal femoral nailing (PFN) operated in the department of orthopedics at Dr RPGMC Kangra at Tanda.</p><p><strong>Methods:</strong> This study was conducted on patients presenting to the department of orthopedics at Dr RPGMC Tanda with trochanteric fractures and fulfilling the criteria and studied for a period of one year starting from the date of study. The patients were clinically evaluated at the time of admission. Demographic data of the patients such as age, sex, pre-operative mobility status, pre-existing co-morbidities, type of fracture/fracture classification, degree of osteoporosis (measured by Singh’s index) were noted.</p><p><strong>Results:</strong> Comparison of age of the patients in which difficulties encountered was comparable to the patients in which no difficulties encountered (p=0.562) 57% (n=33/58) of the patients in which no difficulties encountered were males. Sex-based distribution was not found to be statistically significant (p=0.480). 93% (n=54/58) of the patients in which no difficulties encountered belonged to rural areas. Residence-based distribution was not found to be statistically significant (p=0.506).</p><p><strong>Conclusions:</strong> In this study, we observed that technical difficulty in PFN can arise in any patient irrespective of their age, sex and socioeconomic status.</p>

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