Cannulated Cancellous Screw and Ender’s Nail Fixation in Intertrochanteric Femur Fracture in Elderly Patient With Co-Morbid Condition

Background: Intertrochanteric Femur fracture is common in elderly patient with co-morbidity Aims & Objectives: Clinico-radiological evaluation of results of Ender’s nail and cannulated cancellous screw fixation in case of intertrochanteric fracture of femur in elderly patient with preexisting comorbid condition, and functional recovery in those patients. Results: The patients mainly belong to elder age group with co-morbid condition and all operated within two weeks of fracture. All the fractures were united within an average period of 13 weeks with a range of 10 – 16 weeks. In an average, 20% of the patients had accurate anatomical reduction and the neck -shaft angle was same as on unaffected side, 65% of the patients had 3 to 5 degree of variations in the neck -shaft angle compared to unaffected side, and 15% of patients had more than 10 degree of variation in the neckshaft angle compared to unaffected side. Conclusion: The combined use of Ender’s nail and cannulated cancellous screw may provide good fracture reduction and stability and good functional outcome in elderly patient with intertrochanteric femur fracture.