A study of functional and radiological outcome of intertrochanteric femur fractures at a tertiary health care centre

Abstract

Background and Objectives: Intertrochanteric fractures of the femur are extremely common fractures occurring in elderly osteoporotic individuals. Recumbency following a hip fracture is known to be associated with increased mortality in this group of patients Methods: This study is a prospective clinical study comprising of patients identified for surgical treatment of fracture in the intertrochanteric region of femur admitted to our tertiary medical college hospital. The statistical analysis was done by ANOVA test and calculated by SPSS 19 version software Results: In Our study, majority of the patients were in the age group of 61-80, followed by 81-100. No. of mobile individual were significantly higher in the Grade I as compared to Grade II and Grade III (p0.05) calculated by Two-way ANOVA (Bonferroni posttests) respectively at 6 Wk., 2 Month and 6 Month. In average the Grade I patients required 9 Weeks; Grade II patients required 8.6 Weeks; Grade III patients required 11 Weeks; Grade IV required 13 Weeks for union of the fractures radiologically. Malunion was found in 04%, Nonunion with Implant failure found in 08%; No Wound infection found in any patient. Overall the Excellent results found in 68%, Good results in 24% and Poor results found in 8%. Conclusion: It can be concluded from our study that the mobility of the patients with simple fracture with Grade I was significantly more as compared to Grade II and Grade III, on radiology the various complications observed were Malunion, Overall the Excellent results found in 68% of the patients.