Role of PFN A2 in unstable intertrochanteric fractures- A prospective study

Abstract

Background: Intertrochanteric fractures are common osteoporotic fractures in elderly Above 65 Years. Common Modalities of Treatment Includes Sliding Hip Screw and Plate or Anintramedullary Device. PFN A2 Is A Newer Intramedullary Device With Significant Cut Out Resistance And Better Fixation In Osteoporotic Fractures. Materials and methods: our prospective study includes 20 patients with unstable pertrochanteric fractutres. 12 male and 8 female patients were operated with PFN A2 within a period OD one week. All patients were followed for twelve months and outcome evaluated with Harris Hip Score. Results: All fractures united on an average of 12 weeks. All patients were allowed to full weight bearing on an average by12 weeks on the basis of clinical and radiological union. After analyzing functional outcome of all patients by Harris hip score the average score was found to be 83.2. We had 12 excellent results, 4 good results and 3 fair results. Conclusion: PFN A2 has the advantage of minimal incision, shorter operative time, rapid rehabilitation, lower medical complications among other intramedullary devices.