Key result
Proximal femoral nailing for intertrochanteric femur fractures achieved excellent to good functional outcomes in 68.33% of patients at 6 months, with an 80% complication-free rate.
Why the study?
Proximal femoral nailing (PFN) is gaining popularity for intertrochanteric fractures, but further evaluation was needed regarding functional outcomes and complication rates.
Does proximal femoral nailing improve functional outcomes in patients with intertrochanteric femur fractures?
Cohort (n=60)
No
Does proximal femoral nailing improve functional outcomes in patients with intertrochanteric femur fractures?
Proximal femoral nailing is associated with excellent to good functional outcomes in the majority of patients with intertrochanteric femur fractures.
PFN yields good-to-excellent functional outcomes in most intertrochanteric fracture patients; leaves open need for RCTs versus other fixation methods.
Background: Intertrochanteric fractures are commonly encountered in orthopedics practice. Achieving early mobilization in patients with intertrochanteric fractures is the cornerstone of management. Proximal femoral nailing (PFN) is gaining popularity because of better tolerance of this procedure as well as minimal complication rates. We conducted this study to find out the functional outcome of patients with intertrochanteric fractures treated by PFN. Aims and Objectives: The objectives are as follows: (1) To find out the functional outcome of patients with intertrochanteric fractures treated by PFN. (2) To find out complications in patients treated by PFN. Materials and Methods: 60 patients with intertrochanteric fracture were included in this prospective study on the basis of a predefined inclusion and exclusion criteria. Under spinal anesthesia closed reduction and internal fixation by PFN were done. Open reduction was done in cases where closed reduction was not possible. Functional outcome as assessed by Harris hip score. Statistical analysis was done using SSPS 21.0 Software and P<0.05 was taken as statistically significant. Results: Out of 60 studied cases there were 37 (61.67%) males and 23 (38.33%) females with a M: F ratio of 1:0.62. The most common type of fracture was AO A3.2 (simple transverse fracture) which was seen in 28 (46.67%) patients followed by AO A3.1 (Simple Oblique fracture) and AO A3.3 (wedge fracture or multi-fragmentary fracture). Functional outcome was excellent to good in 41 (68.33%) patients whereas fair and poor outcome was seen in 12 (20%) and 5 (8.33%) patients, respectively. Very poor outcome was seen in 2 (3.33%) patients. Conclusion: PFN is an excellent technique for management of intertrochanteric fractures. It is associated with excellent outcome in majority of the cases and is associated with minimal complications.
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Mehta et al. (2022) conducted a cohort in Intertrochanteric femur fracture (n=60). Proximal femoral nail (PFN) was evaluated on Functional outcome assessed by Harris hip score at 6 months. Proximal femoral nailing for intertrochanteric femur fractures achieved excellent to good functional outcomes in 68.33% of patients at 6 months, with an 80% complication-free rate.
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