Functional outcome of intertrochanteric fracture neck of femur treated with proximal femoral nail

Abstract

Introduction: Intertrochanteric fractures are common in the elderly especially with the increase in the incidence of osteoporosis. Several implants have been designed for the treatment of these fractures. In this study we analyze the functional outcome of unstable inter-trochanteric fractures fixed with proximal femoral nail.Aim: To study the functional outcome of intertrochanteric fractures treated with proximal femoral nailing by using modified Harris Hip Score.Materials and Methods: A prospective study of 48 patients admitted at Govt. Medical College, Srikakulam with intertrochanteric femur fractures were treated with 34 short proximal femur nail for 31A1 and 31A2 and 14 long PFN for 31A3 during Jan 2017- Dec 2018. Patients were followed up at 4 weeks, 3 months, and 6 months and results were evaluated using Clinical assessment includes post operative walking ability, hip and knee function, fracture union time, and implant bone interaction by modified Harris Hip Score.Results: The study included 48 patients, 26 males and 22 females of age 35-85 years with an average of 60 years. Excellent and good results were found in 42 patients (88%). Intra- and post-operative complications were found in 8 patients (16%). Conclusion: Good fracture reduction is critical in the management intertrochanteric fractures with PFN. Short proximal femoral nailing is an excellent treatment option for 31A1 and 31A2, long PFN is for 31A3 type intertrochanteric fractures.