Background: An analytical study was conducted on the outcome of unstable Intertrochanteric fractures treated by conventional proximal femoral nailing in a prospective and retrospective method. Materials and methods: During our study period, 130 patients, both males and females, aged between 50 years and 100 years who were suffering from unstable intertrochanteric fracture and who were treated with Proximal femoral Nailing were included in the study. Both prospective and retrospective studies were conducted to evaluate clinical and functional outcome of 130 patients. Modified Harris Hip score was used to evaluate clinical and functional outcome. Radiological assessment with hip anteroposterior and lateral views were taken.quality of reduction, malialignments, screw cut outs, bony union and implant related complications were noted. Results: In our study majority of the cases about 60% were in the age group of 61 to 80 years among the study group of 50 to 100 years. Females were slightly more affected (52.35%) as compared to males (47.65%).Average time for radiological union was about 16 weeks. Among 130 of our patients 1 cased died on 3 rd posteoperative day for reason unrelated to the surgery. So Harris Hip Score was calculated for 129 patients. We had 53.9% of excellent and 36.1% of good results which together accounted to about 90% of the cases Conclusion: Based on our experience and results we conclude that proximal femoral nailing is an excellent judicious and rational method of fixation for unstable intertrochanteric fractures in elderly patients.
Background: Distal femoral fractures historically have been difficult to treat. Because of the proximity to the knee joint, regaining full knee motion and function is difficult. Controversy remains regarding the optimum device among various fixation devices available for distal femoral fixation. Retrograde nailing has shown to be the optimal device for this fracture. Hence this study was conducted to analyze the functional outcome Muller's type A and C distal femoral fractures treated with retrograde intramedullary nailing. Materials and methods:The study was conducted in a tertiary referral institute between January 2010 to December 2015. This study was conducted in a retrospective and prospective manner. Retrograde nailing was performed on a total of 43 patients presenting with supracondylar and intra condylar fractures of distal femur. Cases were followed up till December 2016. 3 of our patient lost to follow up. Outcome was assessed by using Neer's scoring system. Results: All patients were followed up for an average of 15 months. There were 30 type A and 10 type C AO fractures. All the fractures eventually healed with an average time to union of 15 weeks. Using Neer's scoring system there were 22(55%) excellent, 12(30%) good, 4(10%) fair and 2(5%) poor results. Conclusion: Retrograde nailing makes biological osteosynthesis of distal femoral fractures with less Periosteal stripping, less blood loss, lesser need for none grafting, decreased operative time and very low late varus collapse rates.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.