Intertrochanteric and subtrochanteric fractures outcome on surgery

Background: Intertrochanteric and subtrochanteric fractures are leading cause of hospital admissions in elderly people. Aim: This study was done to analyze the surgical management of proximal third fractures of femur using Proximal Femoral Nail fixation. Materials and methods: 20 cases there were 15 male and 5 female patients of intertrochanteric and subtrochanteric fractures, which were treated with Proximal Femoral nail. Results: Mean age of 60.4 years. 50% of cases were admitted due to slip and fall and with slight predominance of right side. Out of 20 cases, 10 were trochanteric and 10 were subtrochanteric. In Trochanteric class 60% were Boyd and Griffin type 2, in Subtrochanteric class 40% were Seinsheimer type 3a and 20% were 2b. Mean duration of hospital stay is 19.33 days and mean time of full weight bearing is 12.6 weeks. Out of 20 cases 2 cases expired before first follow up and 1 case lost for follow up. Out of 17 remaining cases 9 were Trochanteric and 8 were Subtrochanteric. Good to excellent results are seen in 100% cases of trochanteric fractures and 87.5% cases of subtrochanteric fractures. Conclusion: We consider that PFN is an excellent implant for the treatment of proximal third fractures of femur.