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April 14, 2014Journal of Evolution of Medical and Dental SciencesOpen Access

Management of Unstable Intertrochanteric Fracture by Proximal Femoral Nail

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Key result

Proximal femoral nail links to radiological union at ~13 weeks and long-term functional recovery.

  • n=30

Why the study?

Does proximal femoral nail (PFN) improve union and functional outcomes in patients with unstable intertrochanteric fractures?

Population

30 patients with unstable intertrochanteric fracture of the femur, mean age 68 years.

Design

Cohort, Stated as 'randomized study' but no comparator arm is described

Follow-up

12 months

Authors

SYSidharth S YadavPandit Bhagwat Dayal Sharma Post Graduate Institute of Medical SciencesAGAnil GolharGovernment Medical CollegeRARitul AgrawalNepal Medical College Teaching Hospital

Discussion

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Implication

May support PFN for unstable intertrochanteric fractures; leaves open comparative efficacy in randomized trials.

Study Design

Type

Observational (n=30)

Blinding

null

Randomization

null

Multicenter

No

Structured PICO

Does proximal femoral nail (PFN) improve union and functional outcomes in patients with unstable intertrochanteric fractures?

P
Population
30 adults (mean age 68 years, 33% female) with unstable intertrochanteric fractures treated with a proximal femoral nail and followed for up to 12 months.
I
Intervention
Proximal femoral nail (PFN)
O
Outcome
Radiological union and Lower extremity functional score (LEFS) at 12 monthspatient reported

Treatment of unstable intertrochanteric fractures with a proximal femoral nail results in radiological union at a mean of 12.93 weeks and preserves functional status at 12 months.

Limitations

  • Small sample size
  • Lack of a control group (e.g., dynamic hip screw) for direct comparison
  • Short follow-up duration

Cite This Study

Yadav et al. (2014) conducted an observational in Unstable intertrochanteric fracture (n=30). Proximal Femoral Nail (PFN) was evaluated on Mean time to radiological union. Treatment of unstable intertrochanteric fractures with a proximal femoral nail resulted in a mean radiological union time of 12.93 weeks and significant functional recovery at 12 months.

synapsesocial.com/papers/6aa4f8af94607308b2142bfehttps://doi.org/10.14260/jemds/2014/2403
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Treatment of Intertrochanteric Fracture of the Femur Using Sliding Screw Plate Fixation1982 · 207 citations
  2. 2Comparison of the Compression Hip Screw With The Medoff Sliding Plate for Intertrochanteric Fractures1998 · 95 citations
  3. 3A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip2008 · 103 citations
  4. 4A meta-analysis of randomized controlled trials2019 · 791 citations
  5. 5The treatment of trochanteric hip fractures using a compression screw1975 · 102 citations