A comparative study of functional outcome of short proximal femoral nail with long proximal femoral nail in proximal femoral fractures
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20204000Keywords:
Proximal femoral nail, Short femoral nail, Long femoral nailAbstract
Background: Trochanteric femoral fractures are often seen in patients aged they can be caused by high-energy or low-energy trauma or may be pathological. Particularly in the elderly, hip fractures are a major cause of increased mortality and morbidity. Because of the decreased physical capacity, concomitant systemic diseases, and increased vulnerability to environmental dangers, even low-energy trauma can cause unstable femoral trochanteric fractures in this age group. Compare the functional outcome of the short proximal femoral nail with a long proximal femoral nail in proximal femoral fractures.
Methods: This retrospective study was conducted in the Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chengalpattu Dist., Tamil Nadu, India. (KIMS & RC). Palmer/Parker score is obtained for the functional outcome of the short proximal femoral nail with a long proximal femoral nail in proximal femoral fractures.
Results: It is concluded from our study that proximal femoral nailing is an attractive and suitable implant for Proximal Femoral Fractures and its use in unstable intertrochanteric fractures is very encouraging.
Conclusions: The database of our retrospective study regarding age & sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.
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References
Boyd HB, Griffin LL. Classification and treatment of trochanteric fractures. Archi Surg. 1949;58(6): 853-66.
Cheng CL, Chow SP, Pun WK, Leong JC. Long-term results and complications of cement augmentation in the treatment of unstable trochanteric fractures. Injury. 1989;20(3):134-8.
Dimon JH, Hughston JC. Unstable intertrochanteric fractures of the hip J Bone Joint. Surg. 1967;49(3):440-50.
Evans E. The treatment of trochanteric fractures of the femur. J Bone Joint Surg. 1949;31B:190-203.
Goldhagen PR, O'Connor DR, Schwarze D, Schwartz E. A prospective comparative study of the compre ssion hip screw and the gamma nail. J Orthopae Traum. 1994;8(5):367-72.
Harrington KD. The use of methylmethacrylate as an adjunct in the internal fixation of unstable comminuted intertrochanteric fractures in osteoporotic patients. J Bone Joint Surg. 1975; 57A:744-50
Hopkins CT, Nugent JT, Dimon JH. Medical displacement osteotomy for unstable intertrochanteric fractures. Clin Orthop. 1989; 245:169-172.
Huber SM, Heining SM, Euler E. Pertrochanteric fracture fixation: photoelastic stress measurement comparing dynamic hip screw, y-nail, and proximal femur nail. J Bone Joint Surg. 1997;79-B (Suppl II):166.
Lustenberger A, Bekic J, Ganz R. Rotational instability of trochanteric femoral fractures secured with the dynamic hip screw: a radiologic analysis. Unfallchirurg. 1995;98:514-7.
Madsen JE, Naess L, Aune AK, Alho A, Ekeland A, Strømsøe K. Dynamic hip screw with trochanteric stabilizing plate in the treatment of unstable proximal femoral fractures: a comparative study with the Gamma nail and compression hip screw. J orthopa Traum. 1998;12(4):241-8.
Sadowski C, Lübbeke A, Saudan M, Riand N, Stern R, Hoffmeyer P. Treatment of reverse oblique and transverse intertrochanteric fractures with use of an intramedullary nail or a 95 screw-plate: a prospective, randomized study. J Bone Joint Surg. 2002;84(3):372-81.
Sarmiento A. Willams EM. The unstable intertrochanteric fracture: treatment with a valgus osteotomy and I-beam nail-plate. J Bone Joint Surg. 1970;52A-1309-18.