Treatment of stable and unstable intertrochanteric fractures using proximal femoral nail and their functional assessment using modified Harris hip score

Rathore, Lakshya Prateek; Gupta, Lokesh; Thakur, Sanjay Kumar; Vaidya, Sandeep V.; Sharma, Devender; Sharma, Anurag

doi:10.18203/issn.2455-4510.intjresorthop20185340

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Rathore et al, conducted a similar study of 104 patients operated for intertrochanteric fractures with PFN. 18 The analysis of functional outcome by the authors showed that excellent to good results were seen in 73% patients 18% patients had a fair outcome, 7.7% had poor, and 2% patients had very poor outcome. The functional outcome in our study was found to be similar to the study conducted by Rathore et al, as most of our patients also had excellent to good outcome in majority of the cases.…”

Section: Discussionmentioning

confidence: 97%

Management of intertrochanteric femur fracture by proximal femoral nail and its functional outcome: A prospective study

et al. 2022

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Background: Intertrochanteric fractures are commonly encountered in orthopedics practice. Achieving early mobilization in patients with intertrochanteric fractures is the cornerstone of management. Proximal femoral nailing (PFN) is gaining popularity because of better tolerance of this procedure as well as minimal complication rates. We conducted this study to find out the functional outcome of patients with intertrochanteric fractures treated by PFN. Aims and Objectives: The objectives are as follows: (1) To find out the functional outcome of patients with intertrochanteric fractures treated by PFN. (2) To find out complications in patients treated by PFN. Materials and Methods: 60 patients with intertrochanteric fracture were included in this prospective study on the basis of a predefined inclusion and exclusion criteria. Under spinal anesthesia closed reduction and internal fixation by PFN were done. Open reduction was done in cases where closed reduction was not possible. Functional outcome as assessed by Harris hip score. Statistical analysis was done using SSPS 21.0 Software and P<0.05 was taken as statistically significant. Results: Out of 60 studied cases there were 37 (61.67%) males and 23 (38.33%) females with a M: F ratio of 1:0.62. The most common type of fracture was AO A3.2 (simple transverse fracture) which was seen in 28 (46.67%) patients followed by AO A3.1 (Simple Oblique fracture) and AO A3.3 (wedge fracture or multi-fragmentary fracture). Functional outcome was excellent to good in 41 (68.33%) patients whereas fair and poor outcome was seen in 12 (20%) and 5 (8.33%) patients, respectively. Very poor outcome was seen in 2 (3.33%) patients. Conclusion: PFN is an excellent technique for management of intertrochanteric fractures. It is associated with excellent outcome in majority of the cases and is associated with minimal complications.

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Section: Discussionmentioning

confidence: 97%

Management of intertrochanteric femur fracture by proximal femoral nail and its functional outcome: A prospective study

et al. 2022

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Outcome study of proximal femur fracture in patients having cardiac diseases

Singh

Mahindra²,

Garg³

2022

IJOS

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To assess the outcome of fracture in patients with cardiac diseases, evaluate delay in surgery & study the quality of life post hospital discharge. A prospective review of the medical records of 32 cases who underwent surgery at Dayanand Medical college & Hospital, Ludhiana was performed. Patients were selected with proximal femur fracture having cardiac diseases after fulfilling the inclusion and exclusion criteria. After taking detailed history and examination, the patients were followed up after 4-6 weeks and 3-4 months. A detailed structured performa was filled and functional assessment was done using HHS. We had final follow up of all 32 patients which were included in the study managed by PFN. Modified HHS was accessed at 4-6 weeks and 3-4 months and found to be 41.19 (SD =12.89) & 64.66 (SD =13.35) respectively. No mortality was observed during the follow up. Presence of cardiac comorbidities increased the chances of hip fracture and poor HHS was observed among the patients in the study. Although no significant difference on HHS was observed among the subtypes of cardiac diseases. Most common cause of delay in surgery was the use of antiplatelet agents and delay in surgery affected the HHS significantly in a way that more the delay, poor was the HHS. Presence of comorbidities like hypertension, diabetes mellitus decreased the mean HHS. Occurrence of complications also affected the HHS. More the complications, poor was the HHS. Patients with hip fracture with a diagnosis of CVD, have greater risk of hip fracture with longer length of hospital stay and hence higher cost per hospital stay. Presence of more comorbidities along with CVD shows a significant association in the functional outcome.

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Treatment of stable and unstable intertrochanteric fractures using proximal femoral nail and their functional assessment using modified Harris hip score

Cited by 2 publications

References 21 publications

Management of intertrochanteric femur fracture by proximal femoral nail and its functional outcome: A prospective study

Management of intertrochanteric femur fracture by proximal femoral nail and its functional outcome: A prospective study

Outcome study of proximal femur fracture in patients having cardiac diseases

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