Open AccessDISTAL UNLOCKED PROXIMAL FEMORAL NAIL - A PROSPECTIVE STUDY AND REVIEW ABOUT ITS FUNCTIONAL OUTCOME AND COMPLICATIONS IN INTERTROCHANTERIC FRACTURES.
Author(s) -
Harshit Jain
Publication year - 2020
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v4i10.1482
Subject(s) - medicine , surgery , medullary cavity , intertrochanteric fracture , femur , implant , intramedullary rod , nail (fastener) , anatomy , materials science , metallurgy
Background: Proximal femur nailing has become the treatment of choice in intertrochanteric femur fractures. There are different views regarding the use of distal locking in these fractures. It is said that the distal locking does not only provide rotational and axial stability but also improves the fracture healing ; However, reports of implant failure , implant breakage , stress fracture at nail tip or at distal screw insertion site , thigh pain ,cortical hypertrophy and difficulty in distal screw insertion are among the possible complications that can be encountered. In our study we investigated the outcome of omitting the distal screw in intertrochatric fractures.
Materials and Methods: 19 patients with intertrochanteric femur fractures were treated with proximal femoral nail without distal locking. Distal locking was omitted when a tight fit of PFN was felt in the medullary canal by the operating surgeon. The results were evaluated with Modified Harris Hip Score.
Results: 19 patients were followed up clinically and radiologically for 2 years.
Conclusions: Distally unlocked proximal femoral Nail is an effective treatment modality with minimal complications in treatment of only STABLE intertrochantric fractures.
Keywords: PFN, without distal lock, intertrochanteric fractures