Proximal femoral nail: A boon for peritrochanteric fractures

Abstract

Expected age of human race has increased, leading to increase in the number of geriatric people with osteoporotic bones and falls associated with them. In 1949, Boyd and Griffin classified fractures in the trochanteric region of femur into four types. Biomechanical studies have shown that intramedullary device with sliding screw is better. Its location & rotational stability provides better load transfer and hence provides biological fixation. This was a prospective study of 25 cases of peritrochanteric fractures of femur evaluated as per Harris Hip score. In our study, 60% of the patients had excellent to good functional score with 40% of patients had fair to poor functional score due to presence of comorbidity or affected by one of the complications mentioned further. In our study, the average Harris Hip Score was 82.12 with the range of 66.5-92.5.