Indian Journal of Orthopaedics Surgery

Comparison of efficacy of extramedullary fixation devices and proximal femoral nail in the management of subtrochanteric fracture femur

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Author Details: Santosh Deshpande, Shriniwas Yemul

Volume : 4

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 195

Article End Page : 203


Introduction: Hip is one of the important joint for locomotion in human beings. So fractures in and around hip joint are of great concern to treating surgeon and patient. We have made an attempt to evaluate these complex fractures and compared the efficacy of proximal femoral nail and extamedullary devices in treatment of subtrochanteric fracture femur.
Materials and Methods: After informed consent was given, all 56 consecutive patients with subtrochanteric fracture of femur were randomized into two treatment groups. One group of patients were treated with dynamic hip screw or Dynamic condylar screw (Group I) and other group received proximal femoral nail (Group II). All procedures were performed by staff surgeons with patient supine on a fracture table.
Result: The mean operative time in Group I (93.57 min) was significantly higher than in Group II (80 min) with a P value of < 0> Conclusion: We conclude that subtrochanteric fractures are difficult to understand and manage. We consider that the PFN is a good minimally invasive implant for unstable proximal femoral fractures when closed reduction is possible. In general, PFN afforded early return to physical activity, faster rehabilitation & walking ability, lesser blood loss and comparable success rate.

Keywords: Extramedullary fixation, Proximal femoral nail, Subtrochanteric fracture femur, Dynamic condylar screw.

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