Functional Outcome of Unstable Inter Trochanteric Fractures with Osteoporosis Treated with Type II Proximal Femoral Nail
Asian Journal of Orthopaedic Research,
Page 8-16
Abstract
Introduction: With increasing longevity of the population, the proportion of elderly patients experiencing osteoporosis related complications has significantly increased. The incidence of femoral intertrochanteric fractures has also increased year by year. 45% of all hip fractures are intertrochanteric fractures and 35–40% of these fractures are unstable three or four part fractures and associated with high rates of morbidity and mortality.
Materials and Methods: The present studyis a cohort study to show the Functional outcome of unstable inter trochanteric fractures treated with PFNA II in elderly osteoporotic patients, and to note the radiological union in the treated people
Results: In our study, the mean Age of patients age group is 71-80,6(40%) and 81-90, 6 (40%), followed by 03 (20%) patients were 61-70 years. The means of age is 70.04±12.42. In the present study & observation was done by higher Harris Hip score (HHS). Their intergroup comparison of score showed differences at every single follow-up. Additionally, the minimal blood loss, length of surgery, and a smaller incision, & Average hospital stay revealed no substantial variations.
Conclusion: PFNA2 is a significant advancement in the treatment of unstable trochanteric fractures which has the unique advantages of closed reduction, preservation of fracture hematoma, less tissue damage, early rehabilitation and early return to work. Osteosynthesis using a PFNA2, used in unstable trochanteric fractures, resulted in low rates of clinical complications, excellent stabilization, few mechanical complications and adequate functional results.
Keywords:
- Trochanteric
- osteoporosis
- femoral
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References
Boyd HB, GL. 01 Jun 1949. Classif Treat Trochanteric Fract. 1920;58(6):853-866.
Cooper C. C.L.J.M. Hip Fract Elderly World-Wide Projection. 1992;2(6)1(G):3.
Court-Brown CM et al. Rockwood and Green’s fractures in adults. ed;2015.
Srinivas KH. S. S. D. A. S. D. L. N. G. D. S. G. M. PFNA-II in peritrochanteric femur fractures: experiences in osteoporotic elderly indians. 2017;4(2).
Evans EM. The treatment of trochanteric fractures of the femur. The Journal of Bone and Joint Surgery British volume. 1949;31-B(2).
Gray H. Anatomy, descriptive and surgical. In: Anatomy of the human body. 20th ed, by Warren H. Lewis. Philadelphia: Lea & Febiger. 1918;1825-61.
Gray H, Lewis WH. Anatomy of the human body. In: Electronic version of : Anatomy of the human body/ H Gray, Lewis WH, editors. - 20th ed. New York: New York. Bartleby.com. New York: Bartleby.com; 2000.
Wu HF, C-HCG-JW. K.-A.L. &. C.-H. C. Biomechanical investigation of dynamic hip screw and wire fixation on an unstable intertrochanteric fracture. 2019;18(49).
Lotz JC, Cheal EJ, Hayes WC. Fracture prediction for the proximal femur using finite element models: Part I–Linear analysis. J Biomech Eng. 1991;113(4):353-60.
Jensen JS, SS-H &. T. Unstable trochanteric fractures: A comparative analysis of four methods of internal fixation. 2009;51(1-6).
Stewart JDM, JH. In: Traction and Orthopaedic appliances Churchill Livingstone BI, editor. Traction and Orthopaedic appliances. 2nd ed New Delhi. Affiliated East-West Press Pvt. Ltd.1997;3-9.
Chlebeck JD. C.S.B. 3. P.C.S. 2. M. B. 3. T. K. Nonoperative Geriatric Hip Fracture Treatment Is Associated With Increased Mortality: A Matched Cohort Study. 2019 ;1(C):33(7).
Windolf J, Hollander DA, Hakimi M, Linhart W. Pitfalls and complications in the use of the proximal femoral nail. Langenbecks Arch Surg. 2005;390(1). A. H. M. H. W. L.:59-65.
Liu Z, Gao H, Bai X, Zhao L, Li Y, Wang B. Evaluation of Singh Index and Osteoporosis Self-Assessment Tool for Asians as risk assessment tools of hip fracture in patients with type 2 diabetes mellitus. J Orthop Surg Res. 2017 Mar 3;12(1):37.
Mussbichler H. Arterial supply to the head of the femur. Acta Radiologica. 1956; 46(3):533-46.
Rosa N 1, M. M. 2. M. S.M.O.T. 3. Res S 4. 5. F. D. M. 6. A. T. M. 1. Intramedullary nailing biomechanics: Evolution and challenges. 2019;233(3);1.3:295-308).
Dousa P, Bartonícek J, Jehlicka D, Skála-Rosenbaum J. Osteosynthesis of trochanteric fractures using proximal femoral nails. Acta Chir Orthop Traumatol Cech. 2002;69(1). B. D. J. J. S.-R.:22-30.
Williams PL, RWMDLH B. Gray’s anatomy. 37th ed. 1989;76(12,).
Padgett DE. Chapman’s Orthopaedic surgery. In: Chapman’s Orthopaedic surgery. Vol. 1, 3rded. Philadelphia: Lippincott Williams & Wilkins; 2001;653.
Rockwood CR, GDBRHJ. Rockwood and Green’s fractures in adults. Philadelphia: Lippincott-Raven.1996;2.
Kim S-J. D.-W. L. S.P.Outcome of nonoperative treatment for hip fractures in elderly patients: A systematic review of recent literature. 2020;28(2);1(H):1.
Victor H. FrankelM.D. M.D.D. Biomech Knee. 2. 1971;1.
Windoff JT. The normal vascular anatomy of the human femoral head during growth. 1957 ;39-B((2):358-94.).
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