A comparative study between osteosynthesis by proximal femoral nail (PFN) and Coxafemoral bypass with bipolar hemiarthroplasty Incomminuted inter- trochanteric fractures of femur in elderly patients

Abstract

This study was done to compare osteosynthesis by Proximal Femoral Nail And coxa femoral bypass by Bipolar Hemiarthroplasty in Comminuted/ Unstable Inter- Trochanteric Fractures of Femur in Elderly patients. The study was Interventional, prospective study. The study was conducted at department of Orthopaedics at tertiary care centre. Sample size 60. Fractures included in this study were restricted to comminuted and unstable inter-trochanteric fractures. Evans classification type 3,4,5. patients were divided in 2 groups- Group A which was Operated by Proximal femoral nail (PFN) and Group B which was Operated by Bipolar Hemiarthroplasty.Pre-operative workup was done followed by Operation and post operatively physiotherapy was given. Follow up was taken at regular intervals. At each follow up Harris hip score was evaluated. The study concludes that, Coxa femoral bypass by bipolar hemiarthroplasty is a better option than proximal femoral nail in the treatment of unstable IT fractures in the elderly.