Original Research Article
Year: 2018 | Month: October-December | Volume: 3 | Issue: 4 | Pages: 9-15
PFN - Future in Intertrochanteric Fracture Treatment
Dr Irigi Kameshwar1, Dr S. Vasudev Rao1, Dr K. Haranadh1, Dr. Yadaiah Damera2, Dr. Neetika Ashwani3
1Civil Surgeon Specialist. Dist. Hospital, Nalgonda.
2Special Newborn Care Unit, Nodal Officer, Dist. Hospital, Nalgonda
3Research Officer, Newborn Quality Improvement Project, Dist. Hospital, Nalgonda
Corresponding Author: Dr Irigi Kameshwar
Background: Intertrochanteric femur fracture is one of the major causes of morbidity and mortality in general population. The fracture results from trivial fall in elderly population, high velocity of injuries like motor accidents in younger people. We hypothesize that PFN would be a superior treatment than DHS in treating intertrochanteric fractures by decreasing co-morbid conditions.
Methods & Methodology:A prospective study was conducted in district hospital; Nalgonda over a period of 2 years. Patients aging 32-81 years with stable and unstable proximal femoral fractures treated with DHS and PFN (AO, ASIF) were enrolled in the study. Data was filled in the Excel sheet and categorical variables were tabulated.
Results: Eighty one patients were included in the study. The mean age was 55 years with female predominance (70%), right side involvement (62%) with commonest mode of injury fall (domestic) and high velocity injuries noted in age group below 45 years was noted. In four fifth of the cases the fall occurred at home. The treatment constituted; 1/5th fixed with DHS and 4/5th PFN. The commonest, co-morbid condition was hypertension. Lag screw cut out is commonest with DHS with unstable fractures 15%, limb shortening due to coxa vara results were excellent in 64% good 20% fair 12%, and poor in 6% of cases
Conclusion: Stable and unstable trochanteric with clinical results comparing, PFN would be a superior treatment for intertrochanteric fractures compared with DHS with wild range options with treating trochanteric fractures age, type of fracture and general condition of patient even with co-morbid conditions like HTN and DM.
Key words: Intertrochanteric fractures, DHS, PFM, early mobilization without pre-operative and post operative complications
MeSH terms: Intertrochanteric fractures, type of implant DHS and PFM