Results of Proximal Femoral Nail in Intertrochanteric Fracture of Femur

ABSTRACT

Introduction:Intertrochanteric Femur fractures comprise approximately half of all hip fracture caused by low energy mechanism. Risk factors including increasing age, female gender, osteoporosis, and gait abnormality. Internal fixation options fall into two categories intramedullary fixation or plating.PFN (Proximal Femoral Nail) is load bearing device with rotational stability Methods:A prospective study in 70 patients above 31 years of age of proximal femur fractures operated with PFN at our institute in tertiary center in government setup - meeting the inclusion and the exclusion criteria with follow up of 5 – 24 months. Final outcome was measured with Harris Hip Score.Results: Low velocity injury was the cause of fracture in the majority (elderly female) patients. Boyd & Griffin type 2 was the commonest type following fall while walking. The operations were completed within 2 hours in 98% of the patients. The functional result according to Harris Hip Score was found to be excellent in 51.42%, good in 31.42%, fair in 10% and poor in 7.14% of patients Conclusion:Intertrochanteric fractures commonly occur in elderly persons, usually following minor trauma. PFN offer less invasive option for fixation.PFN should always be considered for management of intertrochanteric fractures in young as well as elderly patients who have multiple preexisting illness