Role of Proximal Femoral Nail Antirotation in Management of Unstable Intertrochanteric Fracture of Femur

Journal of Chittagong Medical College Teachers' Association Pub Date : 2023-06-07 DOI:10.3329/jcmcta.v31i1.65878

C. Das, Md Mizanur Rahman Chowdhury, Mohammad Qausarul Matin, Md Somirul Islam, Md.Kamal Uddin, Md. Abdur Rahman

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Abstract

Background: The aim of this study is to evaluate the management of intertrochanteric fracture of the femur using Proximal Femoral Nail Antirotation (PFNA). Materials and methods: Sixty patients of unstable pertrochanteric fractures were treated by closed reduction and internal fixation by proximal femoral nail antirotation from July 2015 to June 2017. Four patients were lost to follow-ups. The remaining 56 patients were followed for a mean period of 2 years. The results were evaluated by assessing the patients regarding their clinical and functional outcome at follow up as per kyle’s criteria Results: Peroperative failure to proximal head neck blade fixation (n-1) jamming of nail (n=2) and post operative lateral migration of head neck blade (n=1) and fracture related infection (n=1) were complications observed. End results were excellent in 46.34%, good in 36.58%, fair is 14.64% and poor in 2.43%. Conclusion: Proximal Femoral Nail Antirotation (PFNA) is the biomechanically and biologically suitable implant for the management of intertrochanteric fracture of the femur. JCMCTA 2020 ; 31 (1) : 64-70

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股骨近端防旋钉在治疗不稳定股骨粗隆间骨折中的作用

背景:本研究的目的是评估使用股骨近端钉防旋(PFNA)治疗股骨粗隆间骨折的疗效。材料与方法:2015年7月至2017年6月对60例不稳定股骨粗隆骨折采用股骨近端钉反旋闭合复位内固定治疗。4例患者失访。其余56例患者平均随访时间为2年。结果:术中观察到头颈近端刀片固定失败(n-1例)、钉卡伤(n=2例)、术后头颈刀片外侧移位(n=1例)、骨折相关感染(n=1例)为并发症。优秀者占46.34%，优秀者占36.58%，一般者占14.64%，差者占2.43%。结论:股骨近端防旋钉(PFNA)是治疗股骨粗隆间骨折的生物力学和生物学上的理想植入物。Jcmcta 2020;31 (1): 64-70

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Journal of Chittagong Medical College Teachers' Association

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