Role of PFN Antirotation II in Osteoporotic Intertrochanteric Fractures, its Clinical and Functional Outcome: A Retrospective Study
Creators
- 1. Assistant Professor, Dept. of Orthopaedics, Gulbarga Institute of Medical Sciences, Kalaburagi
- 2. Professor, Dept. of Orthopaedics, Gulbarga Institute of Medical Sciences, Kalaburagi
- 3. Senior Resident, Dept. of Orthopaedics, Gulbarga Institute of Medical Sciences, Kalaburagi
Description
Fractures around the hip are the most common osteoporotic fractures in geriatric patients. 35-40% of these fracture being unstable. Trochanteric fractures, especially unstable ones are associated with high rates of mortality and morbidity. Surgical fixation is accepted for managing inter-trochanter fractures to attain acceptable reduction and early mobilization after surgery in elderly patients. Materials and Methods: This was a retrospective study held in Department of Orthopedics Gulbarga Institute of Medical Sciences, Gulbarga. A total of 98 patients between from November 2019 to November 2022. Both Male and female patients were retrospectively included. Written informed consent was taken from all those included in the study. Results: Among 98 cases, 66 cases (67.34 %) were males and 32 cases (32.65%) were females. According to Boyd and Griffin classification, the most common Type of fracture is Type-4. Most common mode of injury was trivial fall. The mean duration of surgery was 39.45 min. The mean blood loss was 80.9ml. The mean value of fluoroscopic images used 28.2. The mean value of length of hospital stay was 6.1 days. The average Harris Hip Score obtained at final follow-up was 77.85. It’s a good compare to PFN gives good fixation, short operative time, less blood loss, less fluoroscopy image, less scar mark, less hospital stay. Conclusion: PFNA2 has a superior performance in the setting of osteoporosis, which is attributed to compaction of cancellous bone by the helical blade.
Abstract (English)
Fractures around the hip are the most common osteoporotic fractures in geriatric patients. 35-40% of these fracture being unstable. Trochanteric fractures, especially unstable ones are associated with high rates of mortality and morbidity. Surgical fixation is accepted for managing inter-trochanter fractures to attain acceptable reduction and early mobilization after surgery in elderly patients. Materials and Methods: This was a retrospective study held in Department of Orthopedics Gulbarga Institute of Medical Sciences, Gulbarga. A total of 98 patients between from November 2019 to November 2022. Both Male and female patients were retrospectively included. Written informed consent was taken from all those included in the study. Results: Among 98 cases, 66 cases (67.34 %) were males and 32 cases (32.65%) were females. According to Boyd and Griffin classification, the most common Type of fracture is Type-4. Most common mode of injury was trivial fall. The mean duration of surgery was 39.45 min. The mean blood loss was 80.9ml. The mean value of fluoroscopic images used 28.2. The mean value of length of hospital stay was 6.1 days. The average Harris Hip Score obtained at final follow-up was 77.85. It’s a good compare to PFN gives good fixation, short operative time, less blood loss, less fluoroscopy image, less scar mark, less hospital stay. Conclusion: PFNA2 has a superior performance in the setting of osteoporosis, which is attributed to compaction of cancellous bone by the helical blade.
Files
IJPCR,Vol15,Issue9,Article201.pdf
Files
(1.1 MB)
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Additional details
Dates
- Accepted
-
2023-08-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue9,Article201.pdf
- Development Status
- Active
References
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