Key result
Proximal femoral nails for the treatment of intertrochanteric fractures resulted in 94.2% of patients experiencing no early or late complications over a 6-month follow-up period.
Why the study?
Most intertrochanteric fractures occur in patients above 50 yrs with systemic problems and functional disability, where the goal of treatment is early mobilization and return to preoperative functional state via rigid fixation.
Observational (n=70)
Proximal femoral nailing for intertrochanteric fractures is associated with a low rate of early and late complications.
May support rigid fixation for early mobilization in elderly intertrochanteric fractures; hypothesis-generating and requires prospective confirmation.
Most intertrochanteric fractures occur in patients above 50 yrs who have additional systemic problems and functional disability. So the goal to treatment is early mobilization and return to pre operative functional state. Current treatment approach is possible anatomical reduction and rigid fixation. Considering the mean harris hip score as 93 and assuming the standard deviation as 4, with 5% relative precision and 95% confidence level, the minimum required sample size is 23. However 70 patients were selected for our study. Among the early complications that were being evaluated, 3 patients had superficial infections which were treated by a course of antibiotics. 1 patient had a stage 1 pressure sore which was managed with daily dressing. The wound healed well. 1 patient had backing out of the lag screw at immediate post op period. This was probably because the lag screw was inserted into the fracture site. However at 3 months and 6 months of follow up there was no further backing out of the screw and the fracture united well.
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Eugene et al. (2021) conducted an observational in Intertrochanteric fracture (n=70). Proximal femoral nail was evaluated on Early and late complications. Proximal femoral nails for the treatment of intertrochanteric fractures resulted in 94.2% of patients experiencing no early or late complications over a 6-month follow-up period.
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