Assessment of clinical & radiological outcome of fixation of intertrochanteric femoral fractures with PFNA2 (Proximal femoral antirotation augmentation nail): A case series

Abstract

Aim and Objective: Intertrochanteric femoral fractures are associated with trivial trauma. Although many treatment methods have been developed, controversy exists regarding the optimal management of these fractures. This study evaluated the clinical outcome of intertrochanteric femoral fractures fixed with proximal femoral anti-rotation augmentation nail (PFNA2). Materials and Methods: In this study between JUNE 2018 and OCTOBER 2019, 25 patients with traumatic intertrochanteric fractures of the femur were treated with PFNA2. Closed reduction and internalfixation were performed in 24 cases and open reduction internal fixation done in 1 patient. Results were assessed by modified harris hip scoring system. Results: The average follow-up time was 6 months. All intertrochanteric femoral fractures healed. The mean union time was 12 weeks. No implant failure was observed. Conclusion: PFNA2 is effective in treatment of intertrochanteric femoral fractures, with a high rate of bone union, minor soft tissue damage, early return to function and few implant-related complications.