Assessment Of Role Of Proximal Femoral Nail In Management Of Intertrochanteric Femur Fracture

Abstract

Background: Fracture intertrochanteric femur is a most common fracture of hip especially in elderly. Proximal femoral nail is useful in intertrochanteric femoral fractures. The present study was conducted to assess role of proximal femoral nail in management of intertrochanteric femur fracture.

Materials & Methods: 62 patients of intertrochanteric femur fracture of both genders were treated with proximal femoral nail. Parameter such as mode of injury, side, fracture subtype and outcome based on Kyle's criteria were recorded.

Results: Out of 62 patients, males were 40 and females were 22. OTA fracture type was 31 A1 in 18, 31A2 in 24 and 31 A3 in 20 cases. Mode of injury was RTA in 56, fall in 19 and others in 10. Laterality was left in 37 and right in 48. Kyle's criteria was excellent in 30, good in 16, fair in 14 and poor in 2 cases. The difference was significant (P< 0.05). Complications were failure to insert distal screw in 2, Z- effect in 1, inadequate reduction in 3 and varus deformity in 1 case. The difference was significant (P< 0.05).

Conclusion: Proximal femoral nail is a good minimally invasive stable fixation option with minimal soft tissue handling for unstable intertrochanteric fractures. Patients treated by proximal femoral nailing showed good functional outcome.