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Indian Journal of Orthopaedics Surgery


Proximal femoral nailing in the management of subtrochanteric fractures of femur in adults


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Research Article

Author Details : D Rama Rao, C Siva Rama Krishna*, Karthik Thota, T Jaya Chandra

Volume : 5, Issue : 4, Year : 2019

Article Page : 293-242


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Abstract

Introduction: The proximal femoral nail (PFN) used as an intramedullary device for the treatment of
fractures.
Objectives: Study was taken to analyse the union of the subtrochanteric fracture, internally fixed with
PFN.
Materials and Methods: Study was conducted in the department of orthopaedics, GSL Medical College.
Individuals with acute subtrochanteric femur fractures >18 years were included in the study. The patient
was positioned supine on the fracture table under spinal or epidural or general anesthesia as the condition
of the patient permitted. Pre-operatively one dose of antibiotic was also administered. The fracture was
reduced by longitudinal traction on fracture table and the limb was placed in neutral or slight adduction to
facilitate nail insertion through the greater trochanter ; P <0> Results: At the end of five months, all except three patients could mobilise independently; statistically
there was significant difference (P<0> excellent, 18 patients were good and 4 patients had fair outcome.
Conclusion: Minimal exposure, better stability and early mobilization are the advantages with PFN.
Fractures united in all cases and postoperative functional outcome was satisfactory. PFN could be a
preferred implant of choice in treating subtrochanteric fractures especially in elderly.

Keywords: Fracture, Femur, Operative, Subtrochanteric.

Doi : 10.18231/j.ijos.2019.047

How to cite : Rao D R, Krishna C S R, Thota K, Chandra T J, Proximal femoral nailing in the management of subtrochanteric fractures of femur in adults. Indian J Orthop Surg 2019;5(4):293-242

Copyright © 2019 by author(s) and Indian J Orthop Surg. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)