“PIRIFORMIS FOSSA VERSUS TROCHANTERIC ENTRY PORTAL FOR ANTEGRADE NAILING OF FEMORAL SHAFT FRACTURES: AN UNRESOLVEDCONTROVERSY''

Abstract

Background: The femur is the primary weight demeanor bone of the lower limb and fracture of the femur leads to substantial morbidity and mortality in all age groups. Femoral shaft fracture occurs due to high-energy trauma which may be related to considerable soft tissue injury. Due to osteoporosis in the Geriatrics age group, they are more prone to fractures of the shaft even with low-energy trauma. So, the present study aimed to investigate the difference between both the groups- Greater trochanter (GT) versus Piriformis fossa (PF) entry portal group with respect to the operative and uoroscopic time required for intramedullary nail xation in femoral diaphysis fractures, complications and functional outcome (BASED ON HARRIS HIP SCORE). A Retrospective Hospital based study was conduc Methodology: ted in duration from AUGUST 2020 –AUGUST 2022 among total 42 patients of femoral diaphyseal fractures admitted at OPD or emergency department of orthopedics at R.L. JALAPPA HOSPITAL, TAMAKA, KOLAR and treated with piriformis fossa entry portal and greater trochanter fossa entry portal are selected for ante grade nailing. Mean age of study participants were 44.19 + 11.15 years in Group 1 a Results: nd 46.14 + 11.24 years in Group 2. Females were more affected. No association was found between Class of fracture and Type of nailing entry portals. There was statistically signicant difference was found between Harris Hip score and Type of nail entrance in follow up visit at 3, 6 and 12 months. There was signicant Conclusion: improvement were seen at 12 month follow up visit in patients who had given greater trochanteric nail entry. As we considered outcome measures, which is better in Greater trochanteric nailing entry as compared to pisiform fossa nailing entrance.