DOI: https://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20222187
Published: 2022-08-25

General health and functional improvement among patients with unstable extracapsular proximal femoral fractures managed with proximal femoral nail by using SF-36 score

Amit Kumar Verma, Priyanka Dhiman, Vipin Sharma

Abstract


Background: Proximal femoral nail is emerging as the treatment of choice for unstable extra capsular proximal femoral fractures. This study comprises of functional evaluation of the treated patients by using SF 36 score.

Methods: This was a prospective hospital-based study done on 54 patients with unstable proximal femoral fractures classified according to the AO/ASIF classification system and were treated by using PFN in the department of Orthopaedics DRPGMC, Tanda. Functional outcome was assessed by using SF-36 score on, 14th postoperative day, at three months and six months.

Results: Our study has mean scores of short form-36 subscales as physical function 70.6, role limitation due to physical health 68.1, role limitation due to emotional health 90, energy/fatigue 66, emotional wellbeing 78, social functioning 67.7, pain 75 and general health 73.3.

Conclusions: The results of this study confirm that intramedullary nailing with the use of a PFN in unstable proximal femoral fractures is a safe method. A significant change was seen in quality of life postoperatively as evidenced by various scores used in present study. Weaknesses of this study include a short follow-up period and the inclusion of a small study group.


Keywords


Proximal femoral nail, Short form-36, AO/ASIF

Full Text:

PDF

References


Fox KM, Magaziner J, Hebel JR. Intertrochanteric versus femoral neck fractures: differential characteristics, treatment and sequelae. J Gerontol A Biol Sci Med Sci. 1999;54:635-40.

Zuckerman JD. Hip fracture. N Engl J Med. 1996;334:1519-25.

Grimsrud C, Monzon RJ, Richman J, Ries MD. Cemented hip arthroplasty with a novel circlage technique for unstable intertrochanteric hip fractures. J Arthroplasty. 2005;20:337-43.

Lee MA. Subtrochanteric Hip Fractures. 2010;2:56-9.

Haidukewych GJ, Langford J. Subtochanteric Fractures. In: Bucholz RW, Court BCM, Heckman JD, Tornetta P. Rockwood and Green‘s Fractures in adults. 7th ed. Phildelphia; Lippincott Willams and Wilkins: 2010;1641.

White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980's. J Bone Joint Surg. 1987;69:1335-40.

Parker MJ, Dutta BK, Sivaji C, Pryor GA. Subtrochanteric fractures of the femur. Injury. 1997;28:91-5.

Shipper IB, Marti RK, Werken CV. Unstable trochanteric fremoral fractures: extramedullary or intramedullary fixation: Review of literature. Injury Int J Care. 2004;35:142-51.

Schipper IB, Steyerberg EW, Castelein RM, Van Vugt AB. Reliability of the AO/ASIF classification for pertrochanteric femoral fractures. Acta Orthop Scand. 2001;72:36-41.

McKibbin B. The biology of fracture healing in long bones. J Bone Joint Surg. 1978;60:150-62.

Radford PJ, Needoff M, Webb JK. A prospective randomized comparison of the dynamic hip screw and the gamma locking nail. J Bone Joint Surg. 1993;75:789-93.

Albareda J, Laderiga A, Palanca D. Complications and technical problems with the gamma nail. Int Orthop. 1996;20:47-50.

Boriani S, Bettelli G, Zmerly H. Results of the multicentric Italian experience on the Gamma nail: a report on 648 cases. Orthopaedics. 1991;14:1307-14.

Butt MS, Krikler SJ, Nafie S, Ali MS. Comparison of dynamic hip screw and gamma nail: a prospective randomised controlled trial. Injury. 1995;26:615-8.

Valverde JA, Alonso MG, Porro JG. Use of the Gamma nail in the treatment of fractures of the proximal femur. Clin Orthop. 1998;350:56-61.

Friedl W, Clausen J. Experimental examination for optimized stabilization of trochanteric femur fractures, intra or extramedullary implant localization and influence of femur neck component profile on cut-out risk. Chirurg. 2001;71:1344-52.

Leung KS, Chen CM, So WS, Sato K, Lai CH, Machaisavariya B. Multicenter trial of modified Gamma Nail in East Asia. Clin Orthoped Rel Res. 1996;323:146-54.

Kyle RF, Wright TM, Burstein AH. Biomechanical analysis of the sliding characteristics of compression hip screws. J Bone Joint Surg. 1980;62:1308-14.

Boyd HB, Griffin LL. Classification & treatment of intertrochanteric fractures. Arch Surg. 1949;58:853-66.

Jensen JS, Michaelsen M. Trochanteric fractures treated with McLaughlin plate. Acta Ortho Scand. 1975;46:795-803.

Kumar R, Singh RN, Singh BN. Comparative prospective study of proximal femoral nail and dynamic hip screw in the treatment of intertrochanteric fracture femur. J Clin Orhtopaed Trauma. 2012;3:28-36.

Kaufcr H. Mechanics of the treatment of hip injuries. Clin Orthop Related Res. 1980;146:53-61.

Mendonca TMS, Silva CHM, Morales RR, Canto RST, Pinto RMC. Evaluation of the health related quality of life in elderly patients according to the type of hip fracture: femoral neck or trochanteric. Clinics. 2008;63(5):607-12.