Short-term evaluation of results of trochanteric femoral nailing (TFN) “in comminuted unstable trochanteric hip fractures”
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:74
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Mandal S, Kundu S, Hyam A
Address of correspondence: email@example.com
Introduction: A complication rate between 4-18% for the conventional osteosynthesis of proximal femoral fractures (DHS, gamma nail, PFN) continues to be unacceptable even if increasing age and co-morbidity of patients are taken into account. Therefore, new intramedullary techniques are under development, and we here report our results with the novel Trochanteric Femoral Nail (TFN) in treatment of comminuted unstable trochanteric fractures (AO/ASIF A2 & A3 specially).
Materials and Methods: During the study period, 25 selected patients were operated and followed-up for next 12 months. Evaluation done clinically and functionally by Harris Hip Score, and radiologically by Garden Alignment Index, Cleveland Index, Tip Apex Distance, and Fracture gap measurement.
Results: All cases show union, majority (64%) within 16wks. Harris hip score >70 within 10 wks in 80% patients. 60% cases had excellent alignment. No incidence of neck-screw cut out, and incidence of varus malunion is lesser than DHS as per literature. TFN is also more stable than gamma nail in respect of collapse of the fracture area; and the stress-rising effect of PFN over the anterior femoral cortex can be avoided by using TFN.
Conclusion: We conclude that, TFN, an minimally invasive intramedullary device, when used in comminuted unstable trochanteric fractures offer more advantages than extramedullary implants from biological and biomechanical point of view; and when compared with techniques like gamma-nail and PFN, clinical results are excellent with less complications.
|How to Cite this Abstract|
|Mandal S, Kundu S, Hyam A . Short-term evaluation of results of trochanteric femoral nailing (TFN) “in comminuted unstable trochanteric hip fractures”. International Journal of Conference Proceedings 2015;(2015):74|