Can proximal femoral nailing of unstable trochanteric fractures help to regain pre-injury functional status in Indian rural patients? A prospective study of functional outcome of unstable intertrochanteric fractures with proximal femoral nailing

@article{Linga2017CanPF,
  title={Can proximal femoral nailing of unstable trochanteric fractures help to regain pre-injury functional status in Indian rural patients? A prospective study of functional outcome of unstable intertrochanteric fractures with proximal femoral nailing},
  author={S Shankar Linga and P Janardhana Aithala and Amarnath D. Savur},
  journal={International Journal of Research in Orthopaedics},
  year={2017},
  volume={3},
  pages={728-733}
}
Background: In view of the high incidence of implant failure and varus collapse seen in unstable inter trochanteric femur fractures treated with dynamic hip screw (DHS), proximal femoral nailing (PFN) has gained popularity. 1,2 However there is limited literature regarding functional outcome following PFN especially in Indian patients. In this study, our aim was to assess functional outcome following PFN of unstable inter trochanteric femur fractures which includes the ability to sit cross leg… 

Figures and Tables from this paper

Clinico-radiological and Functional outcome of Unstable Intertrochanteric Fractures by Proximal Femoral Nail Antirotation-2 (PFN-A2)

  • D. V
  • Medicine
    Orthopedic Research Online Journal
  • 2019
TLDR
The proximal femoral nail antirotation 2 (PFN-A2) was an ideal implant for unstable intertrochanteric fractures, leading to high rate of bone union restoring the lateral femoral wall, reducing the chances of implant failure and decreasing the post-operative morbidity by improving the functional quality of life.

Surgical management of subtrochanteric fractures treated with long proximal femoral nail antirotation 2 (PFN-A2)

TLDR
The proximal femoral nail antirotation 2 (PFN-A2) was an ideal and reliable implant for subtrochanteric fractures, leading to high rate of bone union, reducing the chances of implant failure and decreasing the post-operative morbidity by improving the functional quality of life.

Surgical Management of Proximal Femoral Fractures by Proximal Femoral Nailing-An Institutional Experience

TLDR
Intramedullary fixation has biological and biomechanical advantages with decreased the morbidity and improved functional quality of life, leading to high rate of bone union restoring the anatomical alignment and reduced chance of implant failure or deformities.

References

SHOWING 1-10 OF 28 REFERENCES

Proximal Femoral Nailing: Technical Difficulties and Results in Trochanteric Fractures

TLDR
Although PFN is technically required, with a proper technique PFN gives excellent clinical results with almost negligible varus collapse even in unstable trochanteric fractures.

Tip-apex distance of intramedullary devices as a predictor of cut-out failure in the treatment of peritrochanteric elderly hip fractures

TLDR
Surgeons should strive for a TAD less than 25 mm when using IM devices in the treatment of PT hip fractures to help avoid lag screw cut-out, as in sliding hip screws.

Risk factors in cutout of sliding hip screw in intertrochanteric fractures: an evaluation of 937 patients

TLDR
The tip−apex distance (TAD) was shown to be the most important predictive factor for cutout, followed by screw position, fracture pattern, reduction and patient age, which means it is important to ensure good fracture reduction and to place the lag screw in either the middle/middle or inferior/middle position with appropriate TAD.

Short Proximal Femoral Nail Fixation for Trochanteric Fractures

TLDR
The short proximal femoral nail is a superior implant for stable and unstable intertrochanteric fractures in terms of operating time, surgical exposure, blood loss, and complications, especially for patients with relatively small femora.

Pertrochanteric femoral fractures treated with a dynamic hip screw or a proximal femoral nail. A randomised study comparing post-operative rehabilitation.

TLDR
It is suggested that the use of the proximal femoral nail may allow a faster post-operative restoration of walking ability, when compared with the dynamic hip screw.

A randomised comparison of AMBI, TGN and PFN for treatment of unstable trochanteric fractures

TLDR
The AMBI remains the gold standard for the fractures of trochanteric region, TGN has an easier and faster procedure, facilitates early weight bearing and had minor late complications, while PFN is also an accepted minimally invasive implant for unstable proximal femoral fractures but future modification of the implant should reduce its high complication rate.

Use of an Intramedullary Hip-Screw Compared with a Compression Hip-Screw with a Plate for Intertrochanteric Femoral Fractures. A Prospective, Randomized Study of One Hundred Patients*

TLDR
The mortality rate was similar in the two treatment groups, and the patients who had an intramedullary hip-screw had, on the average, significantly better mobility at one (p < 0.0001) and three months (p = 0.0013) postoperatively.

[Intramedullary nailing in femoral shaft fractures].

  • U. Holz
  • Medicine
    Hefte zur Unfallheilkunde
  • 1982