Key result
In adults with subtrochanteric femur fractures, proximal femoral nailing resulted in 100% independent ambulation at 6 months, with 36.6% achieving excellent or good outcomes on the Harris Hip Score.
Why the study?
The study was conducted to assess the outcome of proximal femoral nailing in adults treated for subtrochanteric femur fractures.
Does proximal femoral nailing improve functional outcomes in adults with subtrochanteric femur fractures?
Cohort (n=30)
No
Does proximal femoral nailing improve functional outcomes in adults with subtrochanteric femur fractures?
Proximal femoral nailing provides satisfactory functional outcomes and allows for early mobilization in adults with subtrochanteric femur fractures.
Answers are grounded in this paper and cite their sources.
May support PFN for subtrochanteric fractures with mostly fair recovery; leaves open need for randomized trials.
Aim: To assess the outcome of proximal femoral nailing (PFN) in adults treated for subtrochanteric femur fractures. Study design: A longitudinal study Place and Duration: This study was conducted at Muhammad Medical College and Hospital Mirpurkhas, Pakistan from June 2020 to May 2021. Methodology: In this study prior to surgery, all patients were immobilised. Before installation and wrapping, the other extremity rotation and length measurements were determined. Closed reduction was implemented along with the internal fixation. The Harris Hip Score was utilised to assess the postoperative outcomes. SPSS version 21 was used for data analysis. Results: In this study, 30 patients were included; 66.66 % (n=20) were males, the majority were 31-50 years old, and the average hospitalisation time was 15.55 days. Except for three patients, all of the others could move around unassisted after five months. According to the Harris Hip Score, 16.66% (n=5) of patients had exceptional outcomes, 20% (n=4) had good outcomes, and 63.33% (n=19) had fair results. Conclusion: PFN is a fantastic implant for femoral ST fractures. The benefits include reduced exposure (closed approach), increased stability, and earlier deployment.
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Keerio et al. (2022) conducted a cohort in Subtrochanteric femur fractures (n=30). Proximal Femoral Nailing (PFN) was evaluated on Postoperative outcomes assessed by the Harris Hip Score at 6 months. In adults with subtrochanteric femur fractures, proximal femoral nailing resulted in 100% independent ambulation at 6 months, with 36.6% achieving excellent or good outcomes on the Harris Hip Score.
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