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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 12, Issue 1, September 2014 pp 77-81
Trochanteric fixation nailing for the treatment of unstable osteoporotic intertrochanteric neck femur fractures in elderly patients
Avinash B. Yelne1, Ulhas V. Sonar2, Milind V. Ingle2, Maruti R. Koichade3, Naveen Malu4
1Post graduate student, 2Assistant Professor, 3Professor and HOD, 4Registrar, Department of Orthopaedics, Indira Gandhi Government Medical College, Nagpur, Maharashtra, INDIA.
Objective: To prospectively evaluate results of trochanteric fixation nailing (TFN) in unstable osteoporotic intertrochanteric neck femur fractures in elderly patients. Method: Thirty patients, 65 years or older with unstable osteoporotic intertrochanteric neck femur fractures were treated with trochanteric fixation nailing. Results were evaluated by Harris Hip Score. Results: Average age of patients was 75.73 ± 6.57 years. Average trauma surgery interval was 5.7 days (range 2 to 12 days). The average surgical time was 74.33 minutes (range 55 to 95 minutes). Average hospital stay was 18.23 days (range 14 to 24 days). Fourteen fractures were A2.2 type rest were A2.3. Twenty seven patients were community ambulator and 3 were household ambulator. The average blood loss was 132.5 millilitres (range 50 to 350 millilitres). Partial weight bearing was achieved in mean 4.77 days (range 2 to 9 days). Full weight bearing was achieved after 49.33 ± 5.47 days (41 to 57 days). Complication included one screw cut out, one superficial infection, two pneumonias, three pressure sores, one varus collapse and two deaths over follow up of one and half years. Functional results using Harris hip score indicated excellent to fair results in all but one patient. Conclusion: Trochanteric fixation nailing is effective method of fixation in unstable osteoporotic intertrochanteric neck femur fractures with satisfactory results and reasonably low complication rates.