A Study of twenty consecutive case of unstable Intertrochanteric fracture treated with long Proximal Femoral Nail: A Clinical outcome
نویسنده
چکیده
Intertrochanteric fractures are injuries that affect both the elderly and young individuals. In young individuals injury results from high energy trauma and in elderly individuals usually fractures are 1 of osteoporotic bone ,resulting from trivial trauma. Intertrochanteric fractures are more common in elderly females. Elderly people with low bone mineral density are prone for 2 unstable fracture. It can be managed both conservatively and 3 surgically. DHS is considered as the gold standard treatment. Treatment of choice for both displaced and undisplaced intertrochanteric fractures is open reduction and internal xation. However these fractures are often associated with complications like malunion, delayed union or nonunion resulting from xation failure or implant failure. A lack of satisfactory implant in surgical management of unstable intertrochanteric fractures has led to series of evolution in designing a perfect implant. In view of these considerations, the study of surgical management of intertrochanteric fractures by minimal invasive technique using proximal femoral nail is done.
منابع مشابه
Type II Intertrochanteric Fractures: Proximal Femoral Nailing (PFN) Versus Dynamic Hip Screw(DHS)
Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw (DHS) is still considered the gold standard for treating intertrochanteric fractures by many. Not many studies compare the DHS with Proximal femoral nail (PFN), in Type II intertrochanteri...
متن کاملProximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report
BACKGROUND Primary hemiarthroplasty was recommended by some surgeons as the preferred choice in treating unstable senile intertrochanteric fractures with osteoporosis. However, many studies reported that proximal femoral nail antirotation (PFNA) currently was as an optimal implant for the treatment of different type of intertrochanteric fractures. Which method is better for treating senile inte...
متن کاملTreatment of Unstable Intertrochanteric Fractureswith Proximal Femoral Nail Antirotation II: Our Experience in Indian Patients.
INTRODUCTION Unstable intertrochanteric fractures are difficult to manage and the choice of implant is critical for fracture fixation. The purpose of this study was to evaluate the functional and radiological outcome of proximal femoral nail antirotationII (PFNA II) in the treatment of unstable intertrochanteric fractures. MATERIALS AND METHODS We reviewed 45 patients of unstable intertrochan...
متن کاملRadiographic Outcomes of Osteosynthesis Using Proximal Femoral Nail Antirotation (PFNA) System in Intertrochanteric Femoral Fracture: Has PFNA II Solved All the Problems?
PURPOSE We evaluated the geometric discrepancies between the proximal femur in Koreans and two types of proximal femoral nail using plain radiographs. MATERIALS AND METHODS A total of 100 consecutive patients (38 treated with proximal femoral nail antirotation [PFNA], 62 PFNA II) with intertrochanteric fracture were retrospectively identified. The minimum follow up period was 32 months. The g...
متن کاملA comparative study of proximal femoral fracture fixation with proximal femoral nail and Dynamic hip screw & plating
Introduction: Trochanteric fractures are one of the commonest injuries sustained predominantly in patients over sixty years of age. They are three to four times more common in women than in men. These usually occur through bone affected by osteoporosis; trivial fall being the most common mechanism of injury [1]. Discussion: The goal of this study was to compare the functional outcomes of patien...
متن کامل