Assessment of post-operative functional outcome after antegrade femoral nailing using piriformis fossa entry femoral nail and greater trochanter entry femoral nail

Abstract

Surgical techniques range from closed or open intramedullary nailing, plating, lag screws with neutralization plate, bridge plating and external fixator. Intramedullary fixation of femoral shaft fractures with the use of modern intramedullary nails, carried out in biological way, is currently the best modality of treatment for femoral shaft fractures as there is good apposition with minimal tissue damage, good fixation which is bio mechanically superior to plates, immediate rehabilitation and fewer complications. The sample size was 30 patients per group on assumption of power: 0.85, Type 1 error: 0.05, and effect size: 0.8 with variables; intraoperative parameters (including complications), postoperative parameters (including complications) and postoperative functional outcome. GT group was found better than PF group in terms of post-operative parameters and functional outcome like VAS, WOMAC, HHS, LEM SCORE and SF-36.There was no significant difference in terms of union rates, complications and infections between two groups.