Outcome following proximal femoral nailing with helical head screw for intertrochanteric and subtrochanteric fractures
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20193826Keywords:
Proximal femoral nail, Intertrochanteric fractures, Subtrochanteric fractures, Proximal femoral fracturesAbstract
Background: Intertrochanteric fractures are seen commonly in two patient groups, older osteopenic patients after a low-energy fall and younger patients involved in high-energy trauma. Early surgical intervention is advocated in the majority of these patients to reduce the complications associated with long-term immobilization.
Methods: In this study proximal femoral nailing with helical head screw is used to achieve initial stability and early mobilization of the patients to avoid complications. In 60 patients undergoing proximal femoral nailing with helical head screw for intertrochanteric fractures the results of surgery were meticulously followed.
Results: The patients were assed clinically and radiologically for time of union rate of infection stability and implant failure. All fracture in our study unites within 8 months following surgery.
Conclusions: Our study concludes that proximal femoral nailing with helical head screw is the best method of treatment for intertrochanteric fracture as it leads to lesser complications.
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References
Delee JC, Clanton TO, Rockwood CA. Closed treatment of sub trochanteric fractures of femur in modified cast-brace. J Bone Joint Surg Am. 1981;63(5):773-9.
Pajarinen J, Lindahl J, Michelsson O, Savolainen V, Hirvensalo E. Pertrochanteric femoral fractures treated with a dynamic hip screw or a proximal femoral nail. A randomised study comparing post-operative rehabilitation. J Bone Joint Surg Br. 2005;87(1):76-81.
Klinger HM, Baums MH, Eckert M, Neugebauer R. A comparative study of unstable per- and intertrochanteric femoral fractures treated with dynamic hip screw (DHS) and trochanteric butt-press plate vs. proximal femoral nail (PFN). Zentralbl Chir. 2005;130:301-6.
Murray RC, Frew JF. Trochanteric fractures of the femur: a plea for conservative treatment. J Bone Joint Surg Br. 1949;31:204-19.
Curtis MJ, Jinnah RH, Wilson V, Cunningham BW. Proximal femoral fractures: A biomechanical study to compare intramedullary and extramedullary fixation. Injury. 1994;25:99-104.
Menezes DF, Gamulin A, Noesberger B. Is the proximal femoral nail a suitable implant for treatment of all trochanteric fractures? Clin Orthop Relat Res. 2005;439:221-7.
Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty two cases of intertrochanteric fractures of the femur. J Bone Joint Surg Am. 1979;61:216-21.
Ansari Moein CM, Verhofstad MH, Bleys RL, van der Werken C. Soft tissue injury related to choice of entry point in antegrade femoral nailing: Piriform fossa or greater trochanter tip. Injury. 2005;36:1337-42.
Mittal R, Banerjee S. Proximal femoral fractures: Principles of management and review of literature. J Clin Orthop Trauma. 2012;3(1):15-23.
Simmermacher RK, Bosch AM, Van der Werken C. The AO/ASIF-proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures. Injury. 1999;30(5):327-32.
Medoff RJ, Maes K. A new device for the fixation of unstable per trochanteric fractures of the hip. J Bone Joint Surg. 1991;73:1192-9.
Jiang LS, Shen L, Dai LY. Intramedullary fixation of sub trochanteric fractures with a long proximal femoral nail or a gamma nail: Technical notes and preliminary results. Ann Acas Med Singapore. 2007;36:821-6.