Proximal Femoral Nail: A Boon for Pertrochanteric and Subtrochanteric Fractures

Pertrochanteric fractures are of intense interest globally. Incidence has increased significantly during recent decades and this tendency will probably continue to rise in near future due to increased span of life. Before the introduction of suitable fixation devices, the treatment was predominantly conservative. This conservative approach has now fallen into disrepute because of the high complication rate, making operative management preferred treatment. The present study is undertaken to study the role of surgical management and assess its functional outcome in Pertrochanteric and subtrochanteric fracture .The study was carried out in patients treated for closed displaced pertrochanteric and subtrochanteric fracture , from August 2013 to Jan 2016. A total of 74 patients with closed pertrochanteric and subtrochanteric fracture were included in the study. Patients were between the age group of 20 to 90 years with 44 males and 30 females. Fractures were classified according to Boyd and Griffin and Seinsheimer's for intertrochanteric and subtrochanteric fractures respectively. Functional Outcome was evaluated according to HARRIS HIP SCORE, with mean score of 77.6. Excellent score was noted in 21.6% , Good in 35% , Fair in 31.6% , Poor in 6.6 % and failed in 5% . PFN is a good implant for intertrochanteric and subtrochanteric fracture of the femur. Minimal exposure, lesser blood loss, closed technique, shorter operative time, less morbidity, with mechanical advantages of rotational stability , possibility of dynamic or static distal locking and early return to preoperative status enhance the efficacy of treatment.