Comparison of Outcomes of Proximal Femoral Nailing and Bipolar Hemiarthroplasty Techniques in Intertrochanteric Femur Fracture Treatment
Authors/Creators
- 1. Assistant Professor, Department of Orthopaedics, Dr. Patnam Mahender Reddy Institute of Medical Sciences, Chevella, Telangana, India
- 2. Associate Professor, Department of Orthopaedics, Dr. Patnam Mahender Reddy Institute of Medical Sciences, Chevella, Telangana, India
Description
Introduction: Intertrochanteric femur fractures are among the most common fractures. Because of mankind’s increasing longevity, the occurrence of these fractures is also increasing. The fourth generation of intramedullary nails, such as gamma nails or proximal femoral nails, are used to treat these fractures. We examined early outcomes and complications in patients with intertrochanteric femur fractures who underwent proximal femoral nailing (PFN) and bipolar hemiarthroplasty (BPH) at a tertiary care hospital. Materials and Methods: The current prospective study was carried out during a two-year period at Dr. Patnam Mahender Reddy Medical College. Our study comprised patients with intertrochanteric fractures who came to our hospital. The study comprised patients over the age of 60 with intertrochanteric fractures. Patients were separated into two groups: those who had bipolar hemiarthroplasty (BPH) and those who had proximal femoral nail (PFN). The functional outcome of both groups was assessed using the Harris Hip scale and various parameters were compared. Result: All the patients were elderly. The most common age group was 71-80 years, the average age for arthroplasty was 77.3 years and PFN was 75.8 years. Females were predominantly affected in both cases. In the BPH group, the right side was involved in 9 (36%) patients and the left side in 11 (64%) patients, and in the PFN group, the right side was in 8(40%) patients and the left side was in 12(60%) patients. Domestic fall accounted for the most common mode of injury in both BPH (85%) and PFN (80%) groups. The average amount of blood lost in BPH cases was 516.66 ml. The average amount of blood lost in PFN cases was 187.33 ml which was statistically significant. The average duration of surgery was 81.4 minutes for the BPH Group, and the average duration of surgery for the PFN Group was 77.58 minutes. The mean Harris hip score at the end of one year for the BPH group was 80.84 and for the PFN group was 74.3. Conclusion: When compared to Bipolar hemiarthroplasty, PFN provides the advantage of shorter surgical time, less blood loss, and shorter hospital stay with no difference in functional outcome.
Abstract (English)
Introduction: Intertrochanteric femur fractures are among the most common fractures. Because of mankind’s increasing longevity, the occurrence of these fractures is also increasing. The fourth generation of intramedullary nails, such as gamma nails or proximal femoral nails, are used to treat these fractures. We examined early outcomes and complications in patients with intertrochanteric femur fractures who underwent proximal femoral nailing (PFN) and bipolar hemiarthroplasty (BPH) at a tertiary care hospital. Materials and Methods: The current prospective study was carried out during a two-year period at Dr. Patnam Mahender Reddy Medical College. Our study comprised patients with intertrochanteric fractures who came to our hospital. The study comprised patients over the age of 60 with intertrochanteric fractures. Patients were separated into two groups: those who had bipolar hemiarthroplasty (BPH) and those who had proximal femoral nail (PFN). The functional outcome of both groups was assessed using the Harris Hip scale and various parameters were compared. Result: All the patients were elderly. The most common age group was 71-80 years, the average age for arthroplasty was 77.3 years and PFN was 75.8 years. Females were predominantly affected in both cases. In the BPH group, the right side was involved in 9 (36%) patients and the left side in 11 (64%) patients, and in the PFN group, the right side was in 8(40%) patients and the left side was in 12(60%) patients. Domestic fall accounted for the most common mode of injury in both BPH (85%) and PFN (80%) groups. The average amount of blood lost in BPH cases was 516.66 ml. The average amount of blood lost in PFN cases was 187.33 ml which was statistically significant. The average duration of surgery was 81.4 minutes for the BPH Group, and the average duration of surgery for the PFN Group was 77.58 minutes. The mean Harris hip score at the end of one year for the BPH group was 80.84 and for the PFN group was 74.3. Conclusion: When compared to Bipolar hemiarthroplasty, PFN provides the advantage of shorter surgical time, less blood loss, and shorter hospital stay with no difference in functional outcome.
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IJPCR,Vol15,Issue7,Article141.pdf
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Additional details
Dates
- Accepted
-
2023-05-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article141.pdf
- Development Status
- Active
References
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