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Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 27-31

Trochanteric fixation nail in inter trochanteric fractures of femur in adult population

Depatment of Orthopaedics, Sri Aurobindo Medical College and Postgraduate Institute, Indore, Madhya Pradesh, India

Correspondence Address:
Dr. Ravi Kant Jain
Sri Aurobindo Medical College and Postgraduate Institute, Indore, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajt.ajt_2_18

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Introduction: Intertrochanteric fractures in the elderly are common fractures with high morbidity and mortality. Moreover, its surgical stabilization with early rehabilitation remains a persistent challenge. These patients have poor bone quality and conventional osteosynthetic procedures frequently lead to nonunion and metal failure. The primary goals of treatment are stable fixation and early rehabilitation. The aim of this study was to evaluate the functional outcome, complications of intertrochanteric fractures treated with trochanteric fixation nail (TFN). Materials and Methods: This retrospective study was conducted on the total of 50 patients with fracture intertrochanteric femur and treated with TFN from July 2011 to August 2016. The patients evaluated at 6 months, 1–4 years postoperatively and assessed using the Modified Harris hip score. Results: The mean age of patients was 59.78 ± 16.58 years. There were 37 males and 13 females. The mean duration of surgery was 40.40 ± 20.86 min. The mean union time was 2.20 ± 0.50 months. One (2%) patient developed deep venous thrombosis, whereas 1 (2%) patient had back out of stabilizing screw and 1 (2%) patient had implant failure. The Harris hip score at 1-year and 4-year follow-up was 92.12 and 97.92, respectively, which is slightly better than scores from other implants used for similar fracture. Conclusion: For intertrochanteric fracture fixation, trochanteric femur nail offers good functional outcome with early ambulation and weight bearing with a high rate of union and minimal complications.

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