European Journal of Molecular & Clinical Medicine

Abstract

Objective: To evaluate clinical and functional outcome of unstable intertrochanteric and subtrochanteric fractures of femur treated with proximal femoral nailing with trochanteric stabilization plate.
Methods: In our study we included twenty patients of unstable intertrochanteric and subtrochanteric fracture of femur fixed with proximal femoral nailing with trochanteric stabilizing plate. Our study design is prospective and observational. Our study has maximum follow up of eighteen months and minimum of three months. Patients from third decade of life and onwards, presenting to orthopedic outpatient department in casualty or regular OPD with history pf household fall or minor or moderate trauma or sometime with road traffic accident.
Results: Twenty patients with unstable intertrochanteric and subtrochanteric fracture of femur fixed with proximal femoral nailing with trochanteric stabilizing plate, it was observed that six (30%) patients with Harris hip score between 90-100, nine (45%) patients with Harris hip score between 80-89, three (15%) patients with Harris hip score between 70-79 and two (10%) patients with Harris hip score between < 70. Also twenty patients we observed six (30%) patients with excellent result, nine (45%) with good result, three (15%) with fair result and two (10%) with poor result. There was three patients with infection, in one patient infection got resolved but in two patient’s early removal of implant was done. And in one patient both hip screws were broken after one month of surgery.