European Journal of Molecular & Clinical Medicine

Abstract

INTRODUCTION: Sub-trochanteric fractures accounts for approximately 10-30% of all Hip fractures. These fractures are difficult to manage and are frequently associated with complications, owing to high stresses in this region. Proximal Femoral Nail has immense potential advantages and suspected lower complication rates, hence long Proximal Femoral Nail in our system needed to be augmented and further studied . We evaluated the  functional outcome of long proximal femoral nailing in management of sub-trochanteric fractures.
 
MATERIAL AND METHODS: 30 patients of sub-trochanteric fractures of femur more
than 18 years of age and less than 80 years of age were treated with long proximal femoral nail and were assessed functionally by Harris Hip Score.
 
RESULTS: 30 patients of sub-trochanteric fractures with mean age 32.5 years treated with long proximal femoral nailing were included in the study. 19 were male and 11were female patients. Complications were seen in 4 patients such as 2 cases were of  superficial surgical site infection, 1 case of  slight varus deformity and shortening  and 1 case of  delayed union all with good functional outcomes.
CONCLUSION: Subtrochanteric fractures fixed using long proximal femoral nail have a stable construct which allows us to mobilize these patients early with less hospital stay and early weight bearing.Long proximal femoral nailing provides reliable and excellent to good results in the management of difficult sub-trochanteric fractures, with minimal complications, but the surgery is technically demanding and requires learning curve.