Determining the association between socio-demographic profile and difficulties encountered during fixation of trochanteric fractures with proximal femoral nailing operated in the department of orthopedics at Dr RPGMC Kangra at Tanda
Keywords:Age, Sex, PFN, Difficulty
Background: Trochanteric fractures are one of the commonest fractures seen in elderly people. We conducted a study association between socio-demographic profile and difficulties encountered during fixation of trochanteric fractures with proximal femoral nailing (PFN) operated in the department of orthopedics at Dr RPGMC Kangra at Tanda.
Methods: This study was conducted on patients presenting to the department of orthopedics at Dr RPGMC Tanda with trochanteric fractures and fulfilling the criteria and studied for a period of one year starting from the date of study. The patients were clinically evaluated at the time of admission. Demographic data of the patients such as age, sex, pre-operative mobility status, pre-existing co-morbidities, type of fracture/fracture classification, degree of osteoporosis (measured by Singh’s index) were noted.
Results: Comparison of age of the patients in which difficulties encountered was comparable to the patients in which no difficulties encountered (p=0.562) 57% (n=33/58) of the patients in which no difficulties encountered were males. Sex-based distribution was not found to be statistically significant (p=0.480). 93% (n=54/58) of the patients in which no difficulties encountered belonged to rural areas. Residence-based distribution was not found to be statistically significant (p=0.506).
Conclusions: In this study, we observed that technical difficulty in PFN can arise in any patient irrespective of their age, sex and socioeconomic status.
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