A prospective study of surgical mamnagment of intertrochanteric fractures of femur treated with trochanteric femoral nail
Volume 6 | Issue 1 | Jan-April 2018 | Page 39-42 | Vinay Patil, Nishant Panegaon, Lalit kumar Joon
Authors: Vinay Patil , Nishant Panegaon , Lalit kumar Joon .
Department of Orthopaedics, M R Medical college, Kalaburgi, 585105, Karnataka, India
Address of Correspondence
Dr. Lalit Kumar Joon,
Department of Orthopaedics, M R Medical college,
Kalaburgi, 585105, Karnataka, India
Background: Intertrochanteric fractures are the most frequent fractures of the proximal femur and occur predominantly in geriatric patients and are among the most devastating injuries in the elderly. Since the general life expectancy of the population has increased significantly during past few decades leads to increase in incidence of these fractures and subsequently development of newer designs of implants for fixation of these fractures. Trochanteric femoral nail is a newly introduced nail for internal fixation, compared to single lag screw , the TFN with two screws yielding superior life to cut out and uncontrolled collapse at fracture site. In this prospective study operative time, blood loss, functional outcome and complications are studied.
Materials and Methods: 50 patients diagnosed with Intertrochanteric femur fracture were treated in our hospital. Classification used is Boyd and griffin, Excluding type 4 .Surgery performed after getting the medical fitness. Patient on traction table in supine position through lateral approach. Clinical outcome assessed with Harris hip score at the end of 6 months .
Results: This prospective study shows that Harris Hip score at 6 months was 85% in type I, 61%in type II, and 68% in type III frac-tures.
Conclusions: TFN gave good results clinically and functionally with early return to pre fracture activities to the patients.
Keywords: TFN, Intertrochanteric fracture, Harris hip score.
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|How to Cite this article: Patil V, Panegaon N, Joon L K. A prospective study of surgical mamnagment of intertrochanteric fractures of femur treated with trochanteric femoral nail. J Kar Orth Assoc. Jan-Apr 2018; 6(1): 39-42|
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