A STUDY ON FUNCTIONAL OUTCOME OF PROXIMAL FEMORAL NAIL FIXATION IN SUBTROCHANTRIC FEMUR FRACTURES

Abstract

Subtrochanteric fractures are devastating injuries that most commonly affect the elderly and also in young. Surgical management of these fractures and the surgical implants used have also gone through an array of changes in their procedures and designs. Various upper femoral devices like dynamic condylar screw, dynamic hip screw with barrel plate, gamma nail, proximal femoral nail etc are being used and reasonably satisfactory results with each type of device.

Aim and objectives: To study and evaluate the final outcome of management and complications of sub trochanteric fractures with proximal femoral nailing fixation.

Methods: In our prospective study25 patients above the age of 18 years with subtrochanteric fractures were seen from  September  2021  and  November  2023  in government general hospital, Guntur. All the patients were treated with proximal femoral nail and followed up in GGH, GUNTUR in the department of orthopaedics and the functional outcome was assessed. Results of the study were compared and analyzed with other studies.

Results: Subtrochanteric fractures of the femur have peculiar anatomic and mechanical characteristics which poses problems in their management. Closed intramedullary devices have a mechanical advantage that effectively addresses these factors. The benefit of minimal surgical exposure, more efficient load transfer through calcar femoral and decreased tensile strain on the implant because of its shorter lever arm makes proximal Femoral Nail a good choice of implant for subtrochanteric fractures of the femur.