Functional outcome of unstable intertrochanteric fracture treated with long PFN with or without augmentation

Abstract

Objective: To evaluate the functional outcomes of the patient having Unstable Inter-trochanteric fracture with or not with sub-trochanteric extension treated by long PFN with or without augmentation. Materials and Methods: In our institute, a prospective study of 24 patients who underwent surgical intervention for inter-trochanteric fractures with or without sub-trochanteric extension using long PFN alone or along with augmentation and studied their mechanism of injury, sex prevalence, classification, outcomes and complications for a period of one year from January 2021 to January 2022. Results: The patients were follow-up for duration of 9 months. At the 6th month, the mean Harris hip score was determined to be 86. Out of the total participants, 10 patients achieved an excellent score, 10 patients had a good score, 2 patients had a fair score, and 2 patients had a poor score. Conclusion: Based on this study, both Long PFN with and without augmentation yield comparable outcomes in terms of functional results, implant-related complications, and fracture healing rates for unstable inter-trochanteric fractures with or without sub-trochanteric extension. The decision to augment the fixation with wire cerclage should be made on a case-by-case basis, considering fracture characteristics, bone quality, and surgeon expertise. Prospective randomized controlled trials.