Functional outcome of patients treated with proximal femoral nail for unstable trochanteric fractures

Abstract

Introduction: Proximal Femoral Nail has become a popular method of stabilization of unstable trochanteric fracture in adults. The aim of our study was to assess functional outcome, radiological result and complications in patient treated with Proximal Femoral Nail in unstable trochanteric fracture. Material& Method: 30 patients were treated with PFN for unstable trochanteric of femur. Patients were selected on the basis of inclusion and exclusion criteria. Final outcome assessment included fracture union, implant cutout, Z effect, reverse Z effect, loss of reduction in varus, nonunion, broken locking screw/PFN and Modified Harris Hip Score. Result: This study included 25 male and 5 female above 18 years of age Major cause of injury was Road Traffic accident followed by fall at home. Modified Harris hip score was excellent in 19 patient, good in 7 patient fair in 3 and poor in 1 patient. Conclusion: Proximal Femoral Nail is effective device in the treatment of unstable trochanteric fractures.