Proximal femoral nail- outcome and complications: a prospective study of 125 cases of proximal femoral fractures

@article{Chopra2017ProximalFN,
  title={Proximal femoral nail- outcome and complications: a prospective study of 125 cases of proximal femoral fractures},
  author={B. L. Chopra and Krishan Kumar and B. L. Khajotia Dr. B. L. Khajotia and Ravindra Bhambu and Sunil Kumar Bhatiwal and Vikrant Shekhawat},
  journal={International Journal of Research in Orthopaedics},
  year={2017},
  volume={3},
  pages={973-978}
}
Background: Fractures of the proximal femur are relatively common injuries in adults and common source of morbidity and mortality among the elderly. Fractures of the proximal femur include trochantric and subtrochantric fractures. The present study was designed to evaluate and analyze the role of proximal femoral nail (PFN) in the treatment of proximal femoral fractures. Methods: It was a prospective study on 125 cases of proximal femoral fractures. The fractures were classified according to AO… 

Figures and Tables from this paper

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.

Treatment of Unstable Trochanteric / Subtrocanteric Fractures with PFN, First Cases in University Hospital of Trauma & American Hospital. Results and Complications.

TLDR
PFN is an attractive implant and suitable for proximal femoral fractures and its use in unstable trochanteric / subtrocanteric fractures is very encouraging, which has shown that this device can safely be used by an average surgeon to handle common but sometimes tough fractures.

A narrative review on functional outcome of intertrochanteric fractures treated with proximal femoral nailing

TLDR
Early fixation and early mobilization of the patients is the mainstay goal in the treatment of intertrochanteric fractures and intramedullary devices (PFN) offer better fixation of complex patterns of fractures and aid in early weight-bearing compared to extra-medullary device and hence is the preferred mode of fixation.

Finite Element Analysis of Type I and Type II Fracture with PFN Implant—A Comparative Study

TLDR
The aim of the present research work is to select the proper implant and its respective material during the fixation of intertrochanteric and subtrochantersic fractures of femur to help the orthopedic surgeons to predict the failure of implant.

References

SHOWING 1-10 OF 26 REFERENCES

Is the Proximal Femoral Nail a Suitable Implant for Treatment of All Trochanteric Fractures?

TLDR
Because the high reoperation rate with the proximal femoral nail is a concern, extramedullary devices continue to be the preferred implants for treatment of stable trochanteric fractures.

The proximal femoral nail (PFN) - a minimal invasive treatment of unstable proximal femoral fractures: A prospective study of 55 patients with a follow-up of 15 months

TLDR
The PFN is a good minimal invasive implant of unstable proximal femoral fractures, if closed reduction is possible, and if open reduction of the fracture becomes necessary and several fragments are found, the authors prefer to use a dynamic hip screw (DHS) with the trochanter stablizing plate.

Results of Modified Proximal Femoral Nail in Peritrochanteric Fractures in adults

TLDR
It is concluded that proximal femoral nail is the implant of choice for subtrochanteric fractures and its use in unstable trochanTERic fractures is very encouraging.

Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail

TLDR
The PFN is a suitable implant for unstable fractures, but the high re-operation rate precludes its routine use for every pertrochanteric fracture.

Treatment of subtrochanteric femoral fracture with long proximal femoral nail antirotation.

TLDR
PFNA-long is effective in treatment of subtrochanteric femoral fractures, with a high rate of bone union, minor soft tissue damage, early return to functional exercise and few implant-related complications.

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.

[Intra- and perioperative complications in the stabilization of per- and subtrochanteric femoral fractures by means of PFN].

TLDR
The "Z-effect" seen in 5 cases (7,1%) and the "cut-out" of the sliding-hip-screw in 6 cases (8,6%) were the most frequent complications, the main reason was a bad primary reposition in varus with a CCD-Angle less than 125 degrees.

Analysis of treatment problems in subtraochanteric fractures of the femur.

TLDR
If reduction can be predicted as not achievable, good results can be obtained with traction although the healing period is longer, and in the presence of a residual gap in the medial surface of the femur in the region of the lesser trochanter, poor results are frequent.