Analysis of treatment outcome of patients with Inter-trochanteric femoral fractures undergoing surgical management by Proximal Femoral nail Antirotation (PFNA): An observational study

Abstract

Background: Around 50% of the hip fractures in the elderly are intertrochanteric fractures and half of which are unstable. The proximal femoral nail antirotation (PFNA) was designed with its novation being the helical neck blade. Hence; the present research was undertaken for assessing the outcome patients with Inter-trochanteric femoral fractures undergoing surgical management by Proximal Femoral Nail Antirotation (PFNA). Materials & Methods:10 patients with Intertrochanteric femoral fractures attending the Out Patient Department/Emergency of the Department of Orthopaedics. Complete preoperative clinical examination of all the patients was carried out. All the patients underwent treatment with PFNA under the hands of skilled and experienced orthopaedic surgeon. All the patients underwent postoperative follow-up examination at subsequent visits. Both clinical and radiologic examination was done in all the patients during the postoperative period. Harris hip score was used for assessing the outcome. The statistical data is carried out using Statistical package for social sciences.Results: Mean hospital stay was found to be 9.6 days. 40 percent of the patients had hospital stay of less than or equal to 10 days. 3 patients each (30 percent of the patients each) had mean time to union of 12 weeks and 13 weeks respectively. Overall, mean time to union was found to be 12.45 weeks. Mean Harris hip score among patients on follow-up was found to be 92.5. In 80 percent of the patients, mean Harris hip score was found to be 91 to 100.Conclusion: PFNA is accompanied by early recovery and appears to be an excellent mode of surgical therapy in patients with inter-trochanteric fractures.