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April 1, 2023Annals of International medical and Dental ResearchOpen Access

Functional Outcome of Unstable Intertrochanteric fracture Treated with Proximal Femoral Nail Anti-Rotation

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Key result

Treatment of unstable intertrochanteric fractures with Proximal Femoral Nail Anti-Rotation resulted in 89.13% of patients achieving good or excellent functional outcomes at 6 months follow-up.

Why the study?

Unstable intertrochanteric fractures present a challenging problem, and the Proximal Femoral Nail Anti-Rotation was designed to improve management with fewer complications.

Does Proximal Femoral Nail Anti-Rotation (PFNA) improve functional outcomes in patients with unstable intertrochanteric fractures?

Population

48 patients with unstable intertrochanteric fracture of femur

Design

Prospective hospital-based clinical trial

Follow-up

24 weeks

Authors

MMMd Abu Abdullah Hossain MazumderMHMd.Sazzad HossainSPSujit PaulAgartala Government Medical College

Discussion

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Overview

Supports intramedullary fixation with new AO device in unstable fractures; leaves open need for RCTs before practice change.

Study Design

Type

Observational (n=48)

Multicenter

No

Structured PICO

Does Proximal Femoral Nail Anti-Rotation (PFNA) improve functional outcomes in patients with unstable intertrochanteric fractures?

P
Population
48 adult patients (mean age 58.4 years, 50% female) with unstable intertrochanteric femur fractures treated with proximal femoral nail anti-rotation and followed for 6 months.
I
Intervention
Proximal Femoral Nail Anti-Rotation (PFNA)
O
Outcome
Functional outcome measured using Kyle's Criteria at 6 months (24 weeks)patient reported

Treatment of unstable intertrochanteric fractures with Proximal Femoral Nail Anti-Rotation (PFNA) results in good to excellent functional outcomes with minimal complications.

Limitations

  • Conducted in a single hospital
  • Small sample size
  • Lacked a direct comparison with any other treatment options

Cite This Study

Mazumder et al. (2023) conducted an observational in Unstable intertrochanteric fracture of femur (n=48). Proximal Femoral Nail Anti-Rotation (PFNA) was evaluated on Good or excellent functional outcome at 6 months (Kyle's Criteria). Treatment of unstable intertrochanteric fractures with Proximal Femoral Nail Anti-Rotation resulted in 89.13% of patients achieving good or excellent functional outcomes at 6 months follow-up.

synapsesocial.com/papers/6a86fffc4a47ef1dc7d3be4dhttps://doi.org/10.53339/aimdr.2023.9.17
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Nailing of Intertrochanteric Fractures: Review on Pitfalls and Technical Tips2010 · 18 citations
  2. 2Functional and Radiological Results of Proximal Femoral Nail Antirotation (PFNA) Osteosynthesis in the Treatment of Unstable Pertrochanteric Fractures2018 · 52 citations
  3. 3Conservative versus operative treatment for hip fractures in adults2008 · 199 citations
  4. 4A Comparison of the Proximal Femoral Nail Antirotation Device and Dynamic Hip Screw in the Treatment of Unstable Pertrochanteric Fracture2010 · 144 citations