Abstract
Background: For many years, the sliding hip screw and plate had been the gold standard in treating pertrochanteric fractures. there is always a grey zone of decision of implant to be applied in unstable type A2.2 and A2.3 fractures. This study was designed for the functional outcome of the PFN device in patients with unstable type 2 trochanteric fractures (AO/ASIF classification: 31-A2.2 & 31-A2.3) Material and method: In this prospectively designed study, 30 consecutive patients having Fracture according to AO/ASIF classification 31-A2.2 and 31- A2.3 are included for the study. The functional outcome and clinical results of the patients was evaluated and graded using HARRIS HIP SCORE system. Patients were followed up fortnightly in the first month, then monthly until 6 months or till clinical or radiological union is achieved. Results: The average blood loss in PFN was 88.3ml. Hospital stay after surgery in PFN was average days 4.13. Harris hip score in PFN 22 (73.33%) were good, 06 (20%) were fair and 02 (6.66%). Average time of union in PFN was 13.4 weeks. Conclusion: Functional and radiological status of PFN was much better in unstable type of intertrochanteric fractures. It provides a advantage of lesser blood loss, shorter operating time, faster union, better functional outcome and low infection and complication rate. Keywords: Unstable trochanteric fractures, PFN
Highlights
Unstable trochanteric fractures are a growing concern for the orthopaedic surgeons all over the world
Background: For many years, the sliding hip screw and plate had been the gold standard in treating pertrochanteric fractures. there is always a grey zone of decision of implant to be applied in unstable type A2.2 and A2.3 fractures
This study was designed for the functional outcome of the proximal femoral nail (PFN) device in patients with unstable type 2 trochanteric fractures (AO/ASIF classification: 31-A2.2 & 31-A2.3) Material and method: In this prospectively designed study, 30 consecutive patients having Fracture according to AO/ASIF classification 31-A2.2 and 31A2.3 are included for the study
Summary
Unstable trochanteric fractures are a growing concern for the orthopaedic surgeons all over the world. This study was designed to evaluate the functional outcome and complications of the PFN device, in patients with unstable type trochanteric fracture. This study was designed for the functional outcome of the PFN device in patients with unstable type 2 trochanteric fractures (AO/ASIF classification: 31-A2.2 & 31-A2.3) Material and method: In this prospectively designed study, 30 consecutive patients having Fracture according to AO/ASIF classification 31-A2.2 and 31A2.3 are included for the study. The functional outcome and clinical results of the patients was evaluated and graded using HARRIS HIP SCORE system. Conclusion: Functional and radiological status of PFN was much better in unstable type of intertrochanteric fractures. It provides a advantage of lesser blood loss, shorter operating time, faster union, better functional outcome and low infection and complication rate.
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More From: International Journal of Orthopaedics Traumatology & Surgical Sciences
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