Our experience of management of sub trochanteric fractures of femur by proximal femoral nail

Background: Subtrochanteric fractures of femur are the fractures occurring from the inferior aspect of the lesser trochanter to 5 cm distally. They represent a challenge for surgeons due to the deforming forces acting on the region and the high rates of complications like non-union. This study evaluates the fixation of subtrochanteric fractures of femur with reconstruction nail which is a specialized antegrade intramedullary nail for femur.Methods: A prospective study conducted between October 2017 to May 2019 where 20 cases of subtrochanteric fractures of femur were treated with reconstruction nail and were followed up serially till 24 weeks radiologically and clinically.Results: The average time of union for patients was 5.15±1.14 months with 3 patients whose fractures didn’t unite where one went for frank non union, one had a refracture and one patient had reverse z effect. The functional outcome was excellent in 45% patients and good in 30% patients while poor in 3 (15%) patients.Conclusions: Reconstruction nail is a good device for subtrochanteric fractures of femur providing rigid fixation with low complication rates.

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Study of management of subtrochanteric fractures of femur with reconstruction nail

Sundaram

Munaiah

Mallegowda

et al. 2020

Int J Res Orthop

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Study of Proximal Femoral Nailing in the Management of Subtrochanteric Fractures of Femur

Kumar¹,

Chaudhary²,

Jana

2021

IJAR

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Background:The proximal femoral nail (PFN) used as an intramedullary device for the treatment of fractures. Objectives: Study was taken to analyse the union of the subtrochanteric fracture, internally xed with PFN. Materials and Methods: Study was conducted in the Department of Orthopaedics, DMCH, Laheriasarai, Bihar from June 2019 to November 2019. Individuals with acute subtrochanteric femur fractures >18 years were included in the study. The patient was positioned supine on the fracture table under spinal or epidural or general anesthesia as the condition of the patient permitted. Pre-operatively one dose of antibiotic was also administered. The fracture was reduced by longitudinal traction on fracture table and the limb was placed in neutral or slight adduction to facilitate nail insertion through the greater trochanter ; P <0.05 was considered statistically signicant. Results: At the end of ve months, all except three patients could mobilise independently; statistically there was signicant difference (P<0.05). Based on Harris Hip score obtained 3 patients outcome was excellent, 18 patients were good and 4 patients had fair outcome. Conclusion: Minimal exposure, better stability and early mobilization are the advantages with PFN. Fractures united in all cases and postoperative functional outcome was satisfactory. PFN could be a preferred implant of choice in treating subtrochanteric fractures especially in elderly.

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Our experience of management of sub trochanteric fractures of femur by proximal femoral nail

Cited by 2 publications

References 15 publications

Study of management of subtrochanteric fractures of femur with reconstruction nail

Study of management of subtrochanteric fractures of femur with reconstruction nail

Study of Proximal Femoral Nailing in the Management of Subtrochanteric Fractures of Femur

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