Evaluation of the outcome of proximal femoral nail in the treatment of unstable Intertrochanteric fracture in adult

Abstract

Background & Objectives: The incidence of intertrochanteric fractures among elderly patients is expected to be increased even further with the advancing age of the population, proximal femoral nail was introduced as a method of treatment for this fracture, which is currently the most effective surgical method. The goal is to find out the role of a proximal femoral nail in treating intertrochanteric fractures and assess the advantages and complications of this treatment method. Methods: This prospective study was conducted on seventy patients with unstable intertrochanteric fractures treated with Proximal femoral nails at Erbil teaching hospital. They were followed up for one year, from (May 2016 to May 2017). Patients were examined for the union of fracture and complications clinically and radiologically. The functional outcome was evaluated using the Harris Hip Score. Results: Total number of 70 patients were included in this study, 44 (62.85%) were females, and 26 (37.15%) were males. The mean operative time was (90.885 min. ±11.38SD). Infection developed in (1.42%) of the patients. The most common complication was Varus malalignment which was found in (5.7%) of the cases. Harris Hip Score-based findings were excellent-good in (85.7%) of patients Conclusion: Proximal femoral nail is a relatively effective treatment possibility for most unstable intertrochanteric fractures with good biological stabilization, better short-term outcomes, and minimal complications.