Online ISSN: 2515-8260

Keywords : Proximal femoral nail

A comparative study of 30 cases of intertrochanteric fracture femur in elderly patients treated with Proximal Femoral Nailing Anti Rotation-2(PFNA-2) and Proximal Femoral Nailing (PFN)

Dr.ManjitSingh, Dr.DilmohanSingh Karday,Dr. DharminderSingh

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3189-3196

Increased life expectancy has led to a considerably increased incidence of proximal femoral
fractures. The standard of peritrochanteric fracture treatment is stable fixation, which allows
early full weight-bearing mobilization of the patient. A prospective, observational and
randomized study was carried out with a total of thirty patients with intertrochanteric femur
fractures admitted in Govt. Medical College and Rajindra Hospital Patiala after fulfilling the
inclusion criteria and were treated with osteosynthesis with proximal femoral nailing antirotation-
2 (PFNA-2) and proximal femoral nailing (PFN) after dividing them into two groups
randomly i.e. Group A and Group B with 15 cases in each. Harris Hip Score was used as criteria
for evaluation of results and functional outcome was graded accordingly. The authors conclude
that PFNA2 gives better results than PFN in intertrochanteric fractures in terms of the amount of
blood loss during surgery, duration of surgery, postoperative complications. However, there is no
difference between the two modalities in terms of duration of hospitalization, fracture union, and
early rehabilitation (mortality and morbidity).

A Prospective Study of Clinico-radiological Outcome Assessment in Proximal Femoral Fractures treated with Proximal Femoral Nail

Dr Rameez R Bukhari; Dr Ratnakar Ambade; Dr. Prachi Palsodkar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1861-1867

Introduction: Fractures of the proximal femur including the intertrochanteric and subtrochanteric region which are commonly encountered in Orthopaedics especially in elderly population having porotic and weak bones. In elderly these occur even with minimal or trivial trauma ,whereas in the younger population these result from high velocity trauma. These injuries are in association with a high incidence of mortality and morbidity. These injuries were treated conservatively prior to the early 1970’s and are now treated totally surgically now. The goal of any treatment in fracture is stable fixation, 
ultimately leading to early mobilization and decreased incidence of morbidity and mortality. Many surgical interventions like Gamma Nail, Jewet Nail, Condylar plates had been tried but the outcomes were not very satisfactory, so we conducted a study to determine the clinical and radiological outcome in treating such fractures with PFN.
Aim of the Study: Clinical And Radiological Outcome Analysis of Proximal Fractures of femur when Treated with Proximal Femoral Nail
Materials and Methods: A prospective study done in the Department of Orthopaedics at Jawaharlal Nehru Medical College And Acharya Vinoba Bhave Rural Hospital , Datta Meghe Institute Of Medical Sciences ,Sawangi. Patients with Proximal femoral fractures managed with PFN and subsequent follow up at regular intervals for a duration of 1 year.
ExpectedResults:The functional assessment shall be done on the basis of Modified Harris Hip scoring, and at subsequent followed up radiologically with serial X-rays.
These patients with proximal femoral fractures that include intertrochanteric and subtrochanteric fractures, treated with Proximal Femoral Nail are expected to have a shorter incision and subsequently less intraoperative blood loss than the previously used implants. Patients are expected to bear weight earlier.