DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20200739

A prospective study of management of subtrochanteric femur fracture using proximal femoral nail

Shwetabh Malik, Parimal Malviya, Alfven Vieira, Deepak Jain

Abstract


Background: Proximal femur fractures present considerable challenge in management. They are due to high velocity trauma, with or without soft tissue injury and usually with a metaphyseal and diaphyseal involvement. The surgeon has to face many challenges like identifying the entry, reduction the fracture, and difficulty due to a narrow medullary canal and comminution. The present study was conducted to assess the utility and effectiveness of Proximal Femoral Nail for subtrochanteric fractures of femur.

Methods: In this study a total of 30 patients with Sub trochanteric femur fracture admitted to MGM medical college and hospital from June 2015 to July 2017 were selected for treatment with proximal femur nail.

Results: 30 patients were included in this study with subtrochanteric fractures of femur treated with Proximal femoral nail. Maximum 21(70%) of patients were below 61 yrs of age. Mean age was 47.9 years. There was 21 male and 9 females in the study.  There were 6 patients with local complications. Final result of our study, we had 26.7% excellent, 46.6% good, 20% fair and 6.7 % poor results according to Harris hip score.

Conclusions: In our study, looking at the results we found that Proximal femoral Nail proves to be a good implant in management of subtrochanteric fractures of femur.  However, it is a small study to conclude anything definitely.


Keywords


Subtrochanteric, Femur, Proximal femoral nail

Full Text:

PDF

References


Lavelle DG. Fractures and dislocations chapter-52 in Campbells operative Orthopaedics, tenth edition. 3;2897-2908.

Jiang LS, Shen L, Dai LY. Intramedullary Fixation of Subtrochanteric Fractures with Long Proximal Femoral Nail or Long Gamma Nail. Tech Notes Prelim Results. 2007;36:10.

Broos PL, Reynders P. The use of the unreamed AO femoral intramedullary nail with spiral blade in nonpathological fractures of the femur: experiences with eighty consecutive cases. J Orthop Trauma 2002;16:150-4.

Blatter G, Janssen M. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Arch Orthop Trauma Surge. 1994;113:138-41.

Boldin C, Seibert FJ, Fankhauser F, Peicha G, Grechenig W, Szyszkowitz R. The proximal femoral nail (PFN) - a minimal invasive treatment of unstable proximal femoral fractures: A prospective study of 55 patients with a follow-up of 15 months; 2009: 53-58.

El-Mowa HM, Eid TA, El-Sayed AS, Zalalo SH. fixation of subtrochanteric fracture using proximal femoral nail. Menoufia Medical J. 2014;27:208–14.

Abraham VT, Chandrasekaran M, Mahapatra S. Outcome of subtrochanteric fracture of the femur managed with proximal femoral nail. Int Surge J. 2016;3(3):1296-300.