Proximal femoral nail in the treatment of reverse oblique intertrochanteric femoral fractures

Abstract

Objective To investigate the clinical value of proximal femoral nail (PFN) on reverse oblique inter trochanteric femoral fractures.Methods Thirty-eight patients with reverse oblique intertrochanteric femoral fractures were treated with proximal femoral nailing,of which 18 cases of male,20 cases of female,aged from 40 to 82 years old,average age was 52.2 years old.AO/OTA classification:13 cases of AO/OTA 31-A3- Ⅰ type,10 cases of AO/OTA 31-A3-Ⅱ type,15 cases of AO/OTA 31-A3-Ⅲ type.And the clinical data of these 38 cases were retrospectively reviewed.Results All 38cases were followed up for 4 to 19 nonths,an average of 12.7 months.The mean duration of surgery was 52 minutes and the average amount of bleeding was 295 ml.All fractures healed and the mean healing time was 8.5 weeks.Harris hip score were 67 to 97,and the mean score was 80.6.No intraoperative complications occured in all the 38 cases.No breakage,loose,or shift of the PFN postoperation.Conclusions The intramedullary nailing with proximal femoral nails is an ideal method in the treatment of reverse oblique intertrochanteric femoral fractures. Key words: Proximal femoral nail(PFN); Reverse obliqueinter trochanteric femoral fractures