TITLE:
Proximal Femoral Nail in Reverse Trochanteric Femoral Fractures: An Analysis of 53 Cases at One Year Follow-Up
AUTHORS:
Yogesh Salphale, Wasudeo Mahadeo Gadegone, Alankar Ramteke, Nirbhay Karandikar, Raviraj Shinde, Prakash Lalwani
KEYWORDS:
Proximal Femoral Nailing, Reverse Obliquity Intertrochanteric Fractures, Intramedullary Nailing, PFN, Cephalomedullary Nail, Hip Fracture
JOURNAL NAME:
Surgical Science,
Vol.7 No.7,
July
7,
2016
ABSTRACT: Treatment of reverse oblique trochanteric femoral fractures poses a lot of
challenges. There have been proponents of intramedullary devices as well as extramedullary
devices. We present the results of proximal femoral nailing surgery performed for
reverse obliquity intertrochanteric fractures using two proximal lag screws and
a nail of 250 mm. There is prospective study of fifty three patients with AO/OTA
31 A-A3 fractures being treated by proximal femoral nailing in our institute after
seeking approval from the Hospital ethics board. The quality of the reduction, the
operative time, complications and the functional status of the patients were the
parameters on which the results were evaluated. The mean Harris hip score was 76.66 (range 70 - 93) and the mean Barthel
activity score was 16.21 (range 12 - 20). The average surgical time was 50 minutes and the mean consolidation
time was 11.5 weeks. Intramedullary nailing
with proximal femoral nails seems to be a good option in the treatment of reverse
obliquity intertrochanteric fractures as against the various existing options available
for the management.