Assessment of the outcome of fracture intertrochanteric femur treated by trochanteric fixation nail in the elderly population


  • Vipin Tyagi Department of Orthopaedics, Yashoda Superspeciality Hospital, Nehrunagar, Ghaziabad, Uttar Pradesh, India
  • Rahul Kakran Department of Orthopaedics, Yashoda Superspeciality Hospital, Nehrunagar, Ghaziabad, Uttar Pradesh, India
  • Amit Dwivedi Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India
  • Fenil Shah Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India



Intertrochanteric fracture, TFN, Trochanteric fixation nailing


Background: Intertrochanteric fractures femur in elderly population are more commonly forbidden high morbidity. The surgical stabilization together with early rehabilitation is the main challenge. The elderly population have poor bone mass quality and also the chances of complications like nonunion or implant failure are more with conventional procedures. Stable fixation and early rehabilitation is the main aim in intertrochanteric fractures. The aim is to assess the functional outcome of intertrochanteric fractures femur managed by trochanteric fixation nail (TFN) in the elderly population.

Methods: The study includes 40 patients, 30 male and 10 female, with fracture intertrochanteric femur treated with TFN from September 2018 to May 2019 at Yashoda Superspeciality Hospital, Nehrunagar, Ghaziabad. The patients were evaluated at 4, 8, 12 weeks postoperatively and assessed by the Modified Harris hip score. Classification used is AO classification.

Results: The mean age of patients was 64 years. The mean duration of surgery was 48±10 min. The Harris hip score was 96.90±4.60, which is better than scores from other implants used for intertrochanteric fractures femur.

Conclusions: In this study, we conclude that TFN is a good choice in managing the intertrochanteric fractures, having higher bone union rate and less union time. The period of immobilization is decreased, early weight bearing and less complications.


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Original Research Articles