A Clinical Study on Management of Comminuted Trochanteric and Subtrochanteric Fracture at GGH Kadapa
Creators
- 1. Professor, Department of Orthopedics, ACSR, Nellore
- 2. Associate Professor, Department of Orthopedics, SVMC, Tirupathi
- 3. Assistant Professor, Department of Orthopedics, GGH, Kadapa
Description
Background: Fractures of proximal femur and hip are relatively common injuries in elderly individuals constituting 11.6% of total fractures. In this study, we compared the clinical outcome of fractures treated by proximal femoral nail with that of proximal femur locking compression plate. Materials and Methods: The present study consists of 24 elderly patients of peritrochanteric factures of femur satisfying the inclusion criteria who were treated with Proximal Femoral Nailing or Proximal Femur-Locking Compression Plate in Department of Orthopedics, Government General Hospital, Kadapa for a period of one year. Results: 24 cases were treated with Proximal Femoral Nailing or Proximal Femur-Locking Compression Plate in a randomized pattern who satisfied inclusion criteria. Intraoperative complication was found to be more with Proximal Femur-Locking Compression Plate in contrast to PFN. Postoperative rehabilitation was easier with Proximal Femoral Nailing though not statistically significant functional and anatomical outcomes were found to be better with PFN. Conclusion: Both Proximal Femoral Nailing and Proximal Femur-Locking Compression Plate have good effectiveness in the treatment of intertrochanteric fractures with the lateral unsubstantial femoral wall in the elderly patients. Each has its own advantages and disadvantages. Further studies with large number of patients and long-term follow up is needed to determine the optimal implant for the internal fixation of comminuted peritrochanteric femoral fractures.
Abstract (English)
Background: Fractures of proximal femur and hip are relatively common injuries in elderly individuals constituting 11.6% of total fractures. In this study, we compared the clinical outcome of fractures treated by proximal femoral nail with that of proximal femur locking compression plate. Materials and Methods: The present study consists of 24 elderly patients of peritrochanteric factures of femur satisfying the inclusion criteria who were treated with Proximal Femoral Nailing or Proximal Femur-Locking Compression Plate in Department of Orthopedics, Government General Hospital, Kadapa for a period of one year. Results: 24 cases were treated with Proximal Femoral Nailing or Proximal Femur-Locking Compression Plate in a randomized pattern who satisfied inclusion criteria. Intraoperative complication was found to be more with Proximal Femur-Locking Compression Plate in contrast to PFN. Postoperative rehabilitation was easier with Proximal Femoral Nailing though not statistically significant functional and anatomical outcomes were found to be better with PFN. Conclusion: Both Proximal Femoral Nailing and Proximal Femur-Locking Compression Plate have good effectiveness in the treatment of intertrochanteric fractures with the lateral unsubstantial femoral wall in the elderly patients. Each has its own advantages and disadvantages. Further studies with large number of patients and long-term follow up is needed to determine the optimal implant for the internal fixation of comminuted peritrochanteric femoral fractures.
Files
IJPCR,Vol16,Issue2,Article75.pdf
Files
(305.1 kB)
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Additional details
Dates
- Accepted
-
2024-01-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue2,Article75.pdf
- Development Status
- Active
References
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