European Journal of Molecular & Clinical Medicine

Abstract

Aim: Study of proximal femoral nail in management of unstable intertrochanteric fractures of femur. Materials and methods: An observational study was conducted in the Department of Orthopaedics, SSIMS, Bhilai, C.G., India for the period of 1 year. 50 patients with unstable intertrochanteric fractures AO type 31-A2.1, 31-A2.2, 31-A2.3, 31-A3.1, 31-A3.2, 31-A3.3 were included in study and which had been treated with Proximal femoral nail at our institution. Results: There were 54% left and 46% right side hip fractures. Mean operative time was 35 minutes (range 24-89 min). Average length of follow up period was 12 months. The Cleveland zone 8 (central-inferior) was the most favorable position for lag screw on postoperative radiograph. 82% of cases showed fracture gap of less than 3mm and 16% cases showed fracture gap on acceptable range (3-5mm). Very good to good Garden alignment index was found in 76% of cases. Conclusion: We have suggested that proximal femoral nail offers advantages for the fixation of unstable intertrochanteric fractures with less operative time. It can be easily inserted and provide stable fixation with less complications.