Indian Journal of Public Health Research & Development

  • Year: 2019
  • Volume: 10
  • Issue: 11

Assessment of the Functional Outcome of Proximal Femoral Nailing in Unstable Trochanteric Fractures

1Post Graduate, Department of Orthopaedics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai

2Professor, Department of Orthopaedics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai

Abstract

The aim of the present study is to assess the functional outcome of proximal femoral nailing in patients who have sustained unstable trochanteric fracture.

Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chromepet, Chennai.

The study began in March 2017 and went on till February 2018 (a total recruitment period of 12 months).

Prospective study.

Both male and female patients, in the age social occasion of 46 to 65 years, who had proceeded with a shaky trochanteric break (AO-OTA 2.2, 2.3, 3.1, 3.2 and 3.3) were joined into the assessment. Patients with removed trochanteric split, open and masochist breaks were rejected. The patients were followed up for a base time of 7 months (mean 12.6; region 7 to 19 months). The cases were considered dependent on arrangement of harm, plan and treatment with Proximal femoral nail and assessed for their valuable outcome using HArris Hip Score.

In our assessment which included 42 patients, the general valuable outcome assessed by the Harris Hip Score around the completion of seven months was extraordinary in 38.09% (n=16) of the patients, incredible in 33.33% (n=14), sensible in 21.42% (n=9) and poor results were seen in 7.16% (n=3) of the patients.

We therefore reason that, osteosynthesis utilizing a PFN, utilized in precarious trochanteric breaks, gives incredible adjustment, less mechanical complexities and good practical outcomes. It is along these lines a perfect embed for precisely overseeing unsteady between trochanteric cracks.

Keywords

Trochanteric split, osteosynthesis