Analysis of clinical, radiological and functional outcome of proximal femoral nail antirotation II in the treatment of unstable inter-trochanteric fracture

Abstract

Purpose: To study the clinical, radiological and functional outcome of patients with IT fractures treated with pfn AII methods - An Hospital based Observational study was done at A J Institute of Medical Sciences and Research Centre, Mangalore. During the period June 2019 to April 2021, on 36 patients who underwent PFN AII fixation for Intertrochanteric fracture. Patient had regular follow ups at 1, 3, 6 and 9 month. Clinico-radiological outcome was assessed at the end of 9 months. Functional outcome was assessed using Harris Hip Score. Results: Among 36 patients with Intertrochanteric fracture meeting Inclusion criteria, patients studied, the mean time of union is 10.88 weeks. 2 patients presented with minor complications such as superficial skin infection treated conservatively. All fractures United uneventfully, no patients underwent re-surgery. Conclusion: PFN A-II is a significant advancement in the treatment of trochanteric fractures which has the unique advantage of closed reduction, preservation of fracture hematoma, minimal soft tissue damage during surgery, early rehabilitation and early return to work.