Clinical and functional outcome of inter-trochanteric fractures in the elderly patients using Proximal Femoral Nail Anti-rotational-II (PFNA-II)

Abstract

Introduction: Intertrochanteric fractures of the femur constitute nearly half of all the fractures around the hip and are known to be associated with long- term functional impairment, nursing home admission and increased mortality. Intertrochanteric fractures are routinely operated, which enables early recovery and faster rehabilitation of the patient. The choice of implant used in the management of intertrochanteric fractures has been a subject of debate, especially with the development of various devices over the years. The aim of present study was to evaluate clinical and functional outcome of intertrochanteric fractures in elderly patients using proximal femoral nail anti-rotation-II (PFNA-II).Methods: The present study was carried out 30 patients to evaluate clinical and functional outcome of intertrochanteric fractures in elderly patients using proximal femoral nail anti-rotation-II (PFNA-II). On examination, presence of any tenderness, deformity, limb length discrepancy and range of motion were noted. Functional outcomes were assessed with the help of Harris Hip Score.Results: The mean time to full weight bearing was calculated to be 9.5 (range 6-12) weeks. At final follow-up, half of the patients reported no pain in the hip while 11 cases had slight, occasional pain The mean time to union in our study was calculated to be 11.3 weeks. The mean range of motion at 6 months follow-up was 226 (range 175-270) degrees. The average Harris hip score was 90.6 (range 85-100). In this study, according to Harris hip score all patients were graded excellent or good scores Conclusion: The present findings suggest that PFNA applied in elderly patients with inter-trochanteric fracture can get satisfactory effects, clinical outcome and a lower radiological complication rate.