Functional outcome of patients treated with proximal femoral nail for unstable trochanteric fractures

Abstract

Introduction: Proximal Femoral Nail has become a popular method of stabilization of unstable trochanteric fracture in adults. The aim of our study was to assess functional outcome, radiological result and complications in patient treated with Proximal Femoral Nail in unstable trochanteric fracture. Material& Method: 30 patients were treated with PFN for unstable trochanteric of femur. Patients were selected on the basis of inclusion and exclusion criteria. Final outcome assessment included fracture union, implant cutout, Z effect, reverse Z effect, loss of reduction in varus, nonunion, broken locking screw/PFN and Modified Harris Hip Score. Result: This study included 25 male and 5 female above 18 years of age Major cause of injury was Road Traffic accident followed by fall at home. Modified Harris hip score was excellent in 19 patient, good in 7 patient fair in 3 and poor in 1 patient. Conclusion: Proximal Femoral Nail is effective device in the treatment of unstable trochanteric fractures.

PFNA2 versus 95 Degree Condylar Blade Plate in the Management of Unstable Trochanteric Fractures

“…However, the use of intramedullary fixation with the proximal femoral nail (PFN) and PFNA2 in osteoporotic unstable trochanteric fractures is becoming more popular compared to the sliding hip screw due to its advantages, such as reduced limb shortening, decreased collapse at the fracture site, and lower implant failure rates [11]. Although functional outcomes achieved with both implants are similar, PFNA2 is more advantageous than PFN with two screws passed through a deficient lateral wall.…”

Comparative outcome of short proximal femoral nail versus proximal femoral locking compression plate in the management of unstable trochanteric fractures

“…At every follow-up visit, patients were assessed clinically and with an X-ray of the involved hip with the femur to assess union, functional outcome, and complication. Union of fracture was de ned clinico-radiologically as the presence of bridging callus (callus appearance on three or four cortices on anteroposterior and lateral radiograph views 19 ), the number of bridged cortices, and the disappearance of fracture lines; absence of pain or tenderness at the fracture site during weight-bearing. 20,21 Delayed union occurred when there had been an adequate interval of time for healing of the fracture (average time to union for that particular bone) but healing was incomplete.…”

Comparative Outcome of Short Proximal Femoral Nail Versus Proximal Femoral Locking Compression Plate in the Management of Unstable Trochanteric Fractures

“…At every follow-up visit, patients were assessed clinically and with an X-ray of the involved hip with the femur to assess union, functional outcome and complication. Union of fracture was defined clinico-radiologically as the presence of bridging callus (callus appearance on three or four cortices on anteroposterior and lateral radiograph views), the number of bridged cortices and the disappearance of fracture lines; absence of pain or tenderness at the fracture site during weight-bearing [19][20][21]. Delayed union occurred when there had been an adequate interval of time for healing of the fracture (average time to union for that particular bone) but healing was incomplete [20,21].…”