Key result
Long proximal femoral nails resulted in a significantly higher rate of maximum mobility scores (100% vs 66.7%) and shorter union times compared to short proximal femoral nails in patients with proximal femoral fractures.
Why the study?
Hip fractures cause significant mortality and morbidity, and the study aimed to compare the functional outcome of short versus long proximal femoral nails in proximal femoral fractures.
Does short proximal femoral nail compared to long proximal femoral nail improve functional outcome in proximal femoral fractures?
Cohort (n=30)
No
Does short proximal femoral nail compared to long proximal femoral nail improve functional outcome in proximal femoral fractures?
Long proximal femoral nails are associated with significantly shorter union times and better mobility scores compared to short proximal femoral nails in patients with proximal femoral fractures.
Answers are grounded in this paper and cite their sources.
May support long nails for mobility in proximal femoral fractures; leaves open need for RCTs before practice change.
Background: Trochanteric femoral fractures are often seen in patients aged they can be caused by high-energy or low-energy trauma or may be pathological. Particularly in the elderly, hip fractures are a major cause of increased mortality and morbidity. Because of the decreased physical capacity, concomitant systemic diseases, and increased vulnerability to environmental dangers, even low-energy trauma can cause unstable femoral trochanteric fractures in this age group. Compare the functional outcome of the short proximal femoral nail with a long proximal femoral nail in proximal femoral fractures. Methods: This retrospective study was conducted in the Department of Orthopaedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chengalpattu Dist., Tamil Nadu, India. (KIMS & RC). Palmer/Parker score is obtained for the functional outcome of the short proximal femoral nail with a long proximal femoral nail in proximal femoral fractures. Results: It is concluded from our study that proximal femoral nailing is an attractive and suitable implant for Proximal Femoral Fractures and its use in unstable intertrochanteric fractures is very encouraging. Conclusions: The database of our retrospective study regarding age & sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.
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Selvaraj et al. (2020) conducted a cohort in Proximal femoral fractures (n=30). Long proximal femoral nail vs. Short proximal femoral nail was evaluated on Palmer/Parker mobility score of 3 (p=<0.05). Long proximal femoral nails resulted in a significantly higher rate of maximum mobility scores (100% vs 66.7%) and shorter union times compared to short proximal femoral nails in patients with proximal femoral fractures.
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