European Journal of Molecular & Clinical Medicine

Abstract

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).