Evaluation of cephalomedullary implant fixation in unstable trochanteric fractures

Introduction: Hip fractures continue to be a major cause of mortality and disability among the elderly. Methods: The study includes 32 patients with closed unstable intertrochanteric fracture classified as AO 31A2 &31A3, over a period of 30 months between may 2008 to November 2011. Inclusion Criteria-All mature skeleton above 50 years of age .Closed Unstable Trochanteric Fracture Classified as AO 31 A2 & A3. Exclusion Criteria-Immature skeleton,Pathological fracture of any cause other than osteoporosis, ,Inability to walk independently prior to injury. Results: The average duration between injury and surgery was 5.06 days(range 1-9days). The average duration of surgery was 51.33 minutes(range 31-90 minutes). The average blood loss during surgery was124.33 ml(range 50-199ml), 2 patient had shortening >1cm but less than 2cm, 1 patients had superficial wound infection, 2 patients had varus ranging from 1-4 degree, 2 patients had varus ≥ 5 degree maximum of 15 degree, 8 patients had valgus ranging from 1-4 degree. Conclusion: It is a implant of choice for osteoporotic and unstable trochanteric fractures, and imparts greater biomechanical stability with lesser post-oerative complications.