Proximal femoral nailing in intertrochanteric fractures- A clinical study

Abstract

Background:Intertrochanteric fractures are very common in elderly. The present study was conducted to assess proximal femoral nailing (PFN) in intertrochanteric fractures.Materials & Methods:60 patients of intertrochanteric fractures of both genders were included. Parameters such as shortening, neck shaft angle and Harris Hip Score was done.All patients were followed-up regularly. Results: Out of 60 patients, males were 35 and females were 25. The mean shortening observed was 2.4 mm, mean neck shaft angle was 132.4degree, average abductor power 5grade and average difference with preinjury Harris hip score was 6.1. Complications were varus collapse in 1, difficult reduction in 2, trochantric translation in 5, trochantericcommunition in 1 and trochanteric widening in 2 cases. The difference was significant (P< 0.05).Conclusion: Proximal femoral nailing (PFN) in intertrochanteric fractures (IF) resulted in better treatment outcome.