A Retrospective and Prospective Study of Proximal Femoral Nail in Fracture Intertrochanteric Femur

Abstract

Background:Intertrochanteric Femur fractures comprise approximately 50% of all hip fracture caused by low intensity injury. Unstable intertrochanteric fractures are difficult to manage and associated with many complications.Aims and Objectives:To evaluate effectiveness and strength of proximal femoral nail with early mobilization and functional recovery of patient in management of fracture intertrochanteric femur Materials and methods:Forty patients with Fracture Intertrochanteric Femur visiting Orthopaedic Casualty and OPD were studied. Fractures are evaluated as stable and unstable fractures according to Modified Evan- Jensen classification.Adult and elderly patients with unstable intertrochanteric fractures, proximal femoral nail was applied and followed up for a period of 6 months at regular intervals. The clinical data collected and evaluated with pre injury activity and present functional levels with Harris Hip Score.Results: Majority of the patients were males (65%) and had age between 61-80 years (52.5%) with mean age of 71.58 ± 12.37 years. Majority of the patients had operative time more than equal to 1 hour. Harris Hip Score at 1 month was 71.10 ± 5.52, while at 3 months it was 80.13 ± 7.97. There was a statistically significant increase in the mean Harris Hip Score at 3 months in comparison to 1 month. The mean Harris Hip Score at 1 month was 71.10 ± 5.52. There was a statistically significant increase in the mean Harris Hip Score at 6 months in comparison to 3 months.Conclusion: For unstable intertrochanteric fractures the Proximal Femoral Nail is a good minimal invasive implant which gives significant functional result with good anatomical reduction.