prospective study of functional & radiological outcomes of subtrochanteric femur fractures treated by proximal femur nailing

Abstract

Subtrochanteric fracture is a leading cause of hospital admissions in elderly people. The number of such admissions is on a raise because of increasing life span, sedentary habits, continuous, ongoing changes in people’s life style, industrialization and urbanization and rapidly raising accidents. Conservative methods of treatment results in malunion with shortening and limitation of hip movement as well as complications of prolonged immobilization like bed sores, deep vein thrombosis and respiratory infections. This study is done to analyze the surgical management of Subtrochanteric fractures using Proximal Femoral Nail. This is a prospective study of 30 cases of fresh subtrochanteric fractures admitted to National Institute of Medical Sciences Hospital, between 01 – 01 -2015 to 31 – 06 – 2016. Excellent to good results are seen in 93.3% of cases of subtrochanteric fractures. From this study, we consider that PFN is an excellent implant for the treatment of Subtrochanteric fractures. The terms of successful outcome includes proper patient selection, a good understanding of fracture biomechanics, good preoperative planning, accurate instrumentation, good image intensifier and exactly performed osteosynthesis.