Ravi Teja Kunadha Raju 1 , L. Lokanadha Rao 2 , T. Dinesh Kumar 3 , Sravya Teja Paleti 4 , Satish Kumar Dake 5 , Ch. V. Murali Krishna 6 , P. Ashok Kumar 7 , A. Kalyan Chakravarthy
The incidence of peritrochanteric fractures have increased significantly during the recent decades and will probably continue in the near future due to rising average age of the population. Over the past 50 years, a wide variety of implants have been utilised, but till today there exists a surgeon’s discretion in selecting an implant due to various surgeon-related factors. We, therefore, attempted to address this problem by assessing the functional outcome of peritrochanteric fractures treated with proximal femur nail and compared the same with fractures treated with dynamic hip screw reviewed in the literature. During this period, we have assessed various peroperative and postoperative factors that has influenced the overall functional outcome of peritrochanteric fractures in selected patients. The results were analysed and compared with standard studies. It was found that proximal femoral nail requires a steep learning curve, sophisticated equipment and very little margin of error. This alone could not be a limiting factor in offering this procedure in peritrochanteric fractures compared to dynamic hip screw, which is a relatively easy extramedullary procedure, but associated with more complications and suboptimal end results. METHODS 21 consecutively patients with peritrochanteric fractures at our hospital between April 2010 and May 2012 were enrolled in the study. RESULTS According to BOYD and GRIFFIN classification no of patients with type 1 is 2 (9.5%), type II is 7 (33.3%), type III is 3 (14.3) and type IV is 9 (42.9). The mean age of male patients is 58.7 years and in female patients is 67.5 years. The preoperative mobility status of the patient was assessed by PARKER AND PALMER MOBILITY SCORE. 1 The mean preinjury score was 8.10. The spinal anaesthesia was used in all patients. The average length of incision was 5 cm. Blood loss was counted intraoperatively by number of mops used during surgery. CONCLUSION The data was assessed, analysed, evaluated and the following conclusions were observed. We attribute the good results as a result of the following factors less operating time.
