Published: 2019-08-26

Outcome following proximal femoral nailing with helical head screw for intertrochanteric and subtrochanteric fractures

Sudharsana Reddy Palle, Santhosh Srinivasan, Dhanarajan Gokul Raj


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.


Proximal femoral nail, Intertrochanteric fractures, Subtrochanteric fractures, Proximal femoral fractures

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