RESULTS OF PROXIMAL FEMORAL NAIL IN THE MANAGEMENT OF SUBTROCHANTERIC FRACTURES

Tanveer Ahmed Bhat, Sanjeev Gupta

Abstract


Introduction: Fractures of the proximal femur that occur from lesser trochanter to the isthmus of the femoral canal. The surgical management of the subtrochanteric fractures is the accepted gold standard. In our study, we studied the functional outcome and complication profile of the proximal femoral nail for the internal fixation of the subtrochanteric femoral fractures.

Materials and methods: 46 patients with subtrochanteric fractures of femur, which were managed with proximal femoral nail were included in our study. The patients were followed for a period of 6 months. Outcome was studied and graded using Salwati & Wilson hip scoring system.

Results: We achieved excellent results in 28 patients (60.68%), good results in 14 patients (30.43%), fair results in 02 patient (4.34%) and poor result in 02 patient (4.34%). The complications observed included wound infection in 4 patients (8.69%), knee stiffness in 4 patients (8.69%), shortening in 4 patients (8.69%) and delayed union in 2 patients (4.47%).

Conclusion: We conclude that long proximal femoral nail is an effective implant for the management of subtrochanteric femur fractures in view of promising functional results, minimal soft tissue damage, short surgical time, less operative blood loss and early fracture union rates.


Keywords


proximal femur, proximal femoral nail (PFN), lesser trochanter , subtrochanteric

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