Journal of AdvancedMedical and Dental Sciences Research

Background: In today’s scenario, the frequency of occurrence of intertrochanteric fractures is relatively common injury. Because of significantly increased life expectancy of the general population during the past few decades, many epidemiological studies have shown increasing incidence of proximal femoral fractures. Various studies on intramedullary devices have shown that there are complications with nail to make screw cut out, proximal femoral fracture, significant varus collapse, higher reoperation rates, and wound infection. Hence; we retrospectively analyzed the varus collapse in patients who underwent Subtrochanteric Fracture Fixation by elastic nails. Materials & Methods: The present study included 32 non-osteoporotic patients from age group of 15 years to 50 years having unstable subtrochanteric fractures. All these patients were treated by negotiating appropriate numbers and size of elastic nails. The surgical operations were performed under general or spinal anaesthesia, with the patients set in the supine position on the fracture table. Fractures were reduced under traction, manipulating proximal fragment by Steinmann pin and C-arm fluoroscopy. All the patients were asked to come back to the hospital for follow-up at 6 weeks, 12 weeks, 6 months, 1 year and 2 years after their operation and radiographic examination was carried out at each visit. All the result was analyzed by SPSS software.  Results: Mean age of the patients was 45.6 years while mean weight of the patients was 64.8 Kg. More than 90% of fractures were united in three to four months without fixation loss. 4 patients had complications like proximal or distal migration of nails, infection and bursa. Conclusion: For subtrochanteric fractures, long PFN or long gamma nail is a reliable implant having high rate of bone union.
Key words: Fractures, Fixation, Intertrochanteric