Key result
Treatment of unstable intertrochanteric femur fractures with the Proximal Femoral Nail Anti-Rotation II (PFN-A2) resulted in excellent functional outcomes in 55% and good outcomes in 25% of patients.
Why the study?
Femoral intertrochanteric fractures occur frequently across age groups, and this study aimed to evaluate functional and radiological outcomes of operative management using PFN-A2.
Observational (n=20)
No
PFN-A2 provides excellent or good functional outcomes in 80% of patients with unstable intertrochanteric femur fractures, with minimal complications.
Supports PFN-A2 for intertrochanteric fractures in small cohorts; leaves open need for larger randomized confirmation.
BACKGROUND: Femoral Inter-Trochanteric fracture is one of the most frequently occurring fractures in the elderly, usually following trivial trauma. In the younger age group of people, it occurs almost always due to high velocity trauma. OBJECTIVES: This study aimed to study the functional and radiological outcomes of operative management of intertrochanteric fracture treated by PFN-A2. MATERIAL & METHODS: A prospective study of 20 cases of intertrochanteric femur fracture treated by PFN-A2, minimum 6 months of follow up. All cases are evaluated according to Modified Harris Hip Score on residual effects on clinical ground at final examination. Pain & functional capacity are the two basic considerations for this scoring system. Points are given for pain, function, range of motion & absence of deformity. RESULT: Functional result according to Modified Harris Hip score was found to be excellent in 11(55%) patients, good in 5(25%) patients, fair in 3(15%) patients & poor in 1(5%) patients. poor outcome occurs due to development of complications. CONCLUSION : PFN A2 has the advantage of minimal incision, shorter operative time, rapid rehabilitation, lower medical complications among other options.
No takes yet. Share an insight, caveat, or question.
Chandra et al. (2021) conducted an observational in Unstable intertrochanteric femur fractures (n=20). Proximal Femoral Nail Anti-Rotation II (PFN-A2) was evaluated on Functional outcome according to Modified Harris Hip Score. Treatment of unstable intertrochanteric femur fractures with the Proximal Femoral Nail Anti-Rotation II (PFN-A2) resulted in excellent functional outcomes in 55% and good outcomes in 25% of patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: