Initial results of halifax nail in elderly intertrochanteric fracture

Abstract

Background: Variety of implants (extramedullary and intramedullary) are available to fix intertrochanteric (IT) fracture but hardly any data is available that proves the superiority of one over other. Every implant is having its own advantage and disadvantages. The aim of this study is to analyze the results of Halifax nail in age group of 60 to 100 year age group. Materials and Methods: Total 15 cases of intertrochanteric fracture operated using Halifax nail in which youngest patient was 60 years male and oldest was 95 years female.13 cases operated in same hospital and 2 in two different hospitals. These patient were chosen randomly among elderly IT fracture admitted in hospital during August 2017 to January 2019. Results are analyze in term of Mobilization, pain control, union time, implant failure. Final outcome was evaluated as per Harris Hip Score. Result: Among 15 cases,13 follow up available, 2 patient were lost in follow up after natural death. Out of 13 patients (n = 13), 7 showed excellent, 5 showed good and one patient showed poor result as per Harris Hip Score. Conclusion: Results of Halifax nail for IT fractures in elderly was found to be highly encouraging. All patients had early union and none had implant failure. Early mobilization and negligible mortality and morbidity were other added advantages.