Functional outcome of proximal femoral nailing in inter trochanteric fractures of femur: A prospective study

Abstract

Background: The study was conducted to analyse the functional outcome of Proximal Femoral Nailing in Inter-Trochanteric Fractures of Femur. Methods: Over two years, after obtaining written consent, this prospective study was conducted among 22 patients (age group>18 years) who had Inter-trochanderic fracture treated with Proximal Femoral Nailing. The X-ray of the operated hip was taken whenever it was felt necessary and on 4th week, 8th week, 12th week and at 6th month. Functional outcome measures was done by using Harris Hip Scoring System (Modified) at the end of 6 months. Results: The present series includes, 14 males and 8 females in the age group of 47-82 years with the mean age of 62.09 years. Unstable inter-trochanteric fractures were commonly seen. Excellent results were see in 13 patients. Intraoperative and post-operative complications was seen in 9 patients. Conclusion: From this study, we consider that PFN is an excellent implant for the treatment of trochanteric fractures. With a proper technique, PFN gives excellent clinical results with almost negligible varus collapse even in unstable Inter trochanteric fractures.