Journal of AdvancedMedical and Dental Sciences Research

Background: Proximal femoral fractures are a big challenge in traumatology both for orthopedic surgeons and anaesthetists.  AO/ASIF in 1996 designed a new intramedullary device, the Proximal Femoral Nail (PFN), used for treating unstable per- intra- and sub-trochanteric femoral fractures. Hence; the present study was undertaken for assessing the outcome of patients with Inter-trochanteric femoral fractures undergoing surgical management by PFN. Materials & Methods: A total of 10 patients with Inter-trochanteric femoral fractures were enrolled in the present study. Complete demographic details of all the patients were obtained. Pre-operative assessment was done and Harris hip score was calculated in all the patients. All the patients underwent treatment with PFN under the hands of skilled and experienced orthopaedic surgeon. After the completion of the surgical procedure, patients were kept on follow-up. Removal of sutures was done on 10th post-operative day. Harris hip score and time to weight bearing was calculated on subsequent follow-up till one year. All the results were analysed by SPSS software.  Results: Mean time to weight bearing was found to be 12.5 days. In 70 percent of the patients, mean time to weight bearing was 12 weeks. According to Harris hip score grading, in 70 percent of the patients, excellent results were obtained. However; in 20 percent and 10 percent patients respectively, good and fair results were obtained. Conclusion: PFN is an effective line of treatment for treating patients with inter-trochanteric femoral fractures.
Key words: Inter-trochanteric fractures, Proximal femoral nail

Received: 12 May, 2019                                  Revised: 2 June, 2019                    Accepted: 4 July, 2019

Corresponding author: Dr. Abhishek Bansal, Assistant Professor, Department of Orthopedics, Adesh institute of medical sciences and research, Bathinda, Punjab, India
This article may be cited as: Goyal A, Bansal A. Assessment of outcome of patients with Inter-trochanteric femoral fractures undergoing surgical management by Proximal Femoral Nail (PFN): A clinical study. J Adv Med Dent Scie Res 2019;7(8): 169- 171.