Sreenivasa Neikar1, Rajshekhar2, Venkatesh K3
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 in clusion criteria done in medical college hospital,
Vijayanagar a 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 r eduction
was achieved in 7 (23.3%) patients due to severe 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 g ood 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.
