A Prospective Study in the Management of Peritrochanteric Fractures Femur by PFNA2
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 2283-2298
AbstractBackground and Objectives
Intertrochanteric fracture is one of the most common fractures of the especially in the elderly with osteoporotic bones usually due to low energy trauma like simple falls. Internal fixation is appropriate for most intertrochanteric fractures. Optimal fixation is based on the stability of the fracture. PFNA2 is biomechanically considered one of the most effective methods of treatment with promising results.
Methods: This is a prospective study of 30 cases of fresh trochanteric and subtrochanteric fractures admitted to DMMC Wayanad between June 2019 to June 2022. Cases were taken according to inclusion and exclusion criteria i.e., patients with Peritrochanteric fracture above the age of 18yrs. Medically unsuitable and patients not willing for surgery were excluded from the study.
Results: In our series of 30 cases there were 18 males and 12 females, maximum age of 94 yrs and minimum age of 22 yrs, most of the patients were between 41 to 60 yrs. Mean age of 55.18 yrs. 45% of cases were admitted due to slip and fall and with predominance of right side. Out of 30 cases, 22 were trochanteric and 8 were subtrochanteric. In Trochanteric class 50% were Boyd and Griffin type 2 33.33% were of type 3, in Subtrochanteric class 37.5% were Seinsheimer’s type 3a and 25% were 3b. Mean duration of hospital stay is 20.67 days and mean time of full weight bearing is 16.5 wks. Good to excellent results were seen in 91.66% cases of trochanteric fractures and 87.5% cases in subtrochanteric fractures.
Conclusion: Proximal femoral nail antirotation in Peritrochanteric fracture is a good method of fixation. The procedure is easy with reduced operative time and radiation exposure. So we strongly recommend PFNA2 for fixation of Peritrochanteric fracture of hip.
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