Functional outcome of proximal femoral nail antirotation with helical blade fixation in extra capsular hip fractures in Himalayan region

Abstract

Background: Extra capsular Intertrochanteric hip fractures occur in older age person. These are pathological fracture mostly (osteoporosis). Currently, these hip fractures are generally fixed with intramedullary or extramedullary implants. Implants preference mainly determined by the fracture classification (stable or unstable). Most common complications in standard proximal femoral nail and extramedullary implants is neck screw cutout. Due to Research and improvement in surgical technique incidence of neck screw cutout has reduced considerably but still remains the most common fixation failure with intramedullary implants. With this question in mind we did study to find out functional outcome of proximal femoral nail antirotation with helical blade fixation in extra capsular hip fractures in Himalayan region. Methodology: This prospective study was done on 75 patients with extra capsular hip fractures, for fixation of fracture, implant of choice were used proximal femoral nail antirotation with helical blade. Study were done during the period from September 2015 to August 2016. Informed written consent were taken from all patients. The study was approved by institutional ethical committee. We included > 45 year cases. Fracture was classified according to Boyd and griffin classification. Exclusion criteria were age