No abstract

Intertrochanteric fractures are one of the most common fractures of the elderly due to simple fall but can also occur in younger age group after high energy trauma. Both male and female are equally affected irrespective of the mode of injury. The purpose of this study is to evaluate the functional and radiological outcome of intertrochanteric fracture treated with proximal femoral nail. The study was carried out with a total of 20 patients (male: 17, female: 3) treated with proximal femoral nail from the year 2015-2016. The inclusion criteria were patients with closed fractures of less than 3 weeks and age above 25. These patients were evaluated clinically and radiologically at intervals of 4wks, 8wks, 12wks, 16wks and 20wks. The functional assessment was done using Harris Hip score. In our study majority were unstable fractures (65%) and others were stable fractures (35%). 50 % of our total patients showed full union by 10 to 15 weeks and 35 % showed full union by 16 to 20 weeks. We had 95% of the patients with good anatomical results and 50% of the patients with excellent functional results. PFN is safe, effective and well tolerated device useful in the treatment of all intertrochanteric fractures. Being a closed intramedullary procedure early mobilization and rehabilitation is possible with restoration of normal functions.

Fracture shaft of Humerus are one of the most common injuries of the arm caused by high velocity injury. Both direct and indirect forces act on it resulting in different fracture patterns. Based on the pattern humeral shaft fractures have been treated both by operative and nonoperative methods. Closed intramedullary nailing of these fractures has been the modality of choice for both segmental and communited fractures compared to plate and screw fixation. By this closed nailing procedure fracture complication, operative and post operative complications are reduced with good functional outcome and early restoration of pre morbid functions. The main purpose of the study was to evaluate the functional outcome and the role of locked intramedullary nailing in fracture shaft of humerus with respect to bone union, shoulder function and related complications. A study population was selected and was carried out with a total of 25 patients (male: 20, female: 5) treated with with intramedullary interlocking nail. The inclusion criteria were patients with closed humerus fracture less than 2 weeks and age more than 20 years. The selected patients were assessed both clinically and radiologically at regular intervals of 6 wks, 12 wks, 24 wks and 6 months thereafter till union. The functional outcome was accessed using Constant murley's scoring system. From our selected study sample we found majority of the patients had segmental fractures (70%) and others had communited fractures (30%). Based on the union, 80 % of patients showed full union by 12 weeks and 20 % showed full union by 16 to 20 weeks. We had 20 patients with excellent functional outcome at final follow-up while 5 patients had good outcome. Intramedullary interlocking nail is a quite safe, effective procedure associated with fast healing, good shoulder movements and reduced infection rates in humeral shaft fractures. Being a closed intramedullary procedure early mobilization and rehabilitation is possible with early restoration of premorbid functions.