Clinical Outcome of Proximal Femoral Fractures Fixed With Proximal Femoral Nail (original) (raw)

Proximal femur fractures are commonly seen in Road Traffic Accident (RTA) and in domestic fall. These fractures behave differently during reduction because of various muscular attachments and difficult to fix. Aim: To evaluate the clinical outcome of proximal femoral fractures fixed with Proximal Femoral Nail(PFN) Materials and Methods: It is a prospective study carried out in our Department of Orthopaedics from Jan 2016 to Jan 2017. Total 15 cases were treated of which 6 were Intertrochanteric fractures and 9 were Subtrochanteric fractures. All the fractures were fixed with Long PFN under fluoroscopic guidance by closed methods. Patients were followed up at 1,2,3, 6 months. Results: All the patients were assessed clinically with Harris Hip score and radiologically with X rays. Of the 15 patients 11 cases went for union, 2 cases went for delayed union and 2 cases of non-union were reported. Out of 11 cases went for union 1 case went for varus deformity, 1 case of shortening was observed. In our study excellent result noted in 60 % of cases, good result in 20 % of cases, fair in 7 % of cases and poor in 13 cases Conclusion: Our study suggest that PFN is a stable implant allows early mobilization, less tissue trauma, less operative time, less blood loss, preserving the fracture haematoma thereby helping the fracture to consolidate early, no thigh pain due to longer nail thereby improving the functional outcome of these proximal femoral fractures.