Intertrochanter fractures treated with pfna in patients with age more than 70 years: A study of 42 cases

Abstract

Intertrochanteric fractures commonly occur in elderly patients. The main aim of surgery is to mobilize the patient early. The most commonly used extramedullary implant is the sliding hip screw while intramedullary implants include the Gamma nail, the intramedullary hip screw, the proximal femoral nail, the ACE trochanteric nail and PFNA (pfn antirotational) designed by AO in 2004. We aim to assess functional and radiological outcome of intertrochanteric fractures treated with PFNA in patients with age more than 70 years. This is a study of 42 fresh intertrochanteric fractures in patients with age more than 70 years where osteosynthesis was done using PFNA during the period of March 2016 to February 2017 at SSG hospital, Vadodara. During follow up clinical and radiological assessment was done. At final follow up functional outcome was assessed using Harris hip score. During follow up 7 patients died due to associated comorbid conditions and 35 patients were available till final follow up. At final follow up according to Harris hip score 27 patients had excellent result, 5 had good result, 2 had fair and one had poor result. PFNA is a good implant in osteoporotic intertrochanteric fractures due to less surgical duration, less blood loss, ease of fixation and low rate of complications.