Table of Contents

2017 Month : November Volume : 4 Issue : 88 Page : 5176-5180

A STUDY OF UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES TREATED BY TROCHANTERIC FEMORAL NAIL

Sreenivasa Neikar1, Rajshekhar2, Venkatesh K3

Dr. Rajshekhar,
Plot No. 36, 3rd Cross,
Vidyanagar East, Near Rayara Mane,
Bellary- 583104, Karnataka.
E-mail: rajshekharkollar@gmail.com
DOI: 10.18410/jebmh/2017/1034

ABSTRACT
BACKGROUND
Intertrochanteric fracture is one of the most common fracture of the hip especially in the elderly. The incidence of intertrochanteric fracture is rising because of the increase in number of elderly population along with superadded osteoporosis.

MATERIALS AND METHODS
Study included cases of unstable intertrochanteric fractures (AO and OTA Classification 31-A2 and 31-A3 fracture patterns) that were operated with the short trochanteric femoral nail, which fitted into the inclusion criteria done in medical college hospital, Vijayanagara Institute of Medical Sciences, Bellary, from February 2015 to September 2016.

RESULTS
The age distribution was from 40 to 80 years. The largest group of patients were from 61 to 70 years. The average age was 60.5 years. The number of male patients in our series was 20 (66.7%) and female was 10 (33.3%). Right side was affected in 11 cases (36.7%) and left side in 19 cases (63.3%). Good reduction was achieved in 23 patients (76.7%). Acceptable reduction was achieved in 7 (23.3%) patients due to severe comminution. In our study, 25 patients (83.33%) had no complications. We encountered one intraoperative complication in the form of greater trochanter splintering, while inserting the nail. In our study, we encountered following postoperative complications. We noticed one case of delayed union, one case of Z effect and 2 cases of varus malunion.

CONCLUSION
We conclude that short trochanteric femoral nail provides good fixation for unstable intertrochanteric fractures if proper preoperative planning, good reduction and surgical technique are followed leading to high rate of bone union and minimal soft tissue damage especially for Asian patients with relatively small femora.

KEYWORDS
Intertrochanteric Femoral Fracture, Kyles Criteria, TFN.

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