FUNCTIONAL OUTCOME COMPARISION OF INTERTAN NAIL Vs. PROXIMAL FEMORAL NAIL IN PROXIMAL FEMORAL FRACTURE

Dr Parveen kumar Thakur; Dr Naveen Gupta

Volume : IX, Issue : VI, June - 2020

FUNCTIONAL OUTCOME COMPARISION OF INTERTAN NAIL Vs. PROXIMAL FEMORAL NAIL IN PROXIMAL FEMORAL FRACTURE

Dr Parveen Kumar Thakur, Dr Naveen Gupta

Abstract :

Incidence of peritrochanteric fractures has increased significantly during recent decades and this tendency will probably continue in near future due to rising age of population. Closed methods of treatment for these fractures have shown higher mortality rates & have largely been abandoned. Rigid internal fixation and early mobilization has been standard method of treatment. This study is intended to compare the results of surgical treatment of proximal femoral fractures by intertan nail and proximal femoral nail. This is a prospective study of 40 cases of proximal femoral fractures treated with standard AO PFN and Intertan nail. In this study13 excellent, 5 Good and 2 Fair results in Intertan group with no poor results and in PFN group 11 excellent, 5 Good, 3 Fair and 1 poor results were obsereved. In our series of 20 cases of peritrochanteric fractures treated with Intertan Nail, 18 patients had Excellent to good outcome at their final follow up. Poor outcome was not seen. 2 cases had varus union and 2 patients had displacement of fracture or split of greater trochanteric, none of which required any resurgery. The mean Harris Hip score at their final follow up was 87.5 which is comparable to international publications in the literature and has a successful outcome. From this sample study, we conclude that Intertan Nail is a good implant for the treatment of peritrochanteric fractures of femur provided optimal reduction of the fracture and good positioning of the nail and screws are achieved. The results are comparable to standard AO proximal femoral nail.