Why the study?
There is no consensus on the best operative fixation method for subtrochanteric fractures, balancing intramedullary stability against extramedullary anatomical reduction.
Does intramedullary osteosynthesis with long PFN improve clinical, functional and radiological outcomes in adults with subtrochanteric femur fractures?
Population
30 adult patients with subtrochanteric fractures
Comparison
Intramedullary osteosynthesis with long proximal femoral nail
Design
Prospective randomized control study
Follow-up
Maximum of 24 weeks
Authors
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PFN may support stable fixation in subtrochanteric fractures; leaves open need for RCTs versus extramedullary devices.
Does intramedullary osteosynthesis with long PFN improve clinical, functional and radiological outcomes in adults with subtrochanteric femur fractures?
Intramedullary fixation with a long proximal femoral nail is an effective treatment for subtrochanteric femur fractures, achieving 100% union rates and good functional outcomes.
Berwal et al. (2022) studied this question.
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