Management of Sub-trochanteric Fractures by Long Proximal Femoral Nail in Young Adults
Abstract
Background: Sub-trochanteric fractures are difficult to manage and are frequently associated with complications, owing to high stresses in this region. We evaluated the outcome of long proximal femoral nailing in management of these sub-trochanteric fractures.
Material and methods: 32 patients of closed sub-trochanteric fractures of femur in patients more than 18 years’ age were treated with long proximal femoral nail and were assessed functionally by Harris Hip Score and radiologically to assess union.
Results: 32 patients of sub-trochanteric fractures with mean age 50.09 years treated with long proximal femoral nailing were included in the study. 24 were male and 8 were female. Right side was affected in 18 cases and left in 14 cases. Mean operative blood loss was 122.6 ± 27.6 ml (range 110 to 143 ml). The mean union time was 14.37 weeks (range 12 to 24 weeks). The mean Harris Hip score was 85.9. Only one patient had complication in form of proximal screw back out.
Conclusion: Long proximal femoral nailing provides reliable and excellent to good results in the management of difficult sub-trochanteric fractures, with minimal complications, but the surgery is technically demanding and requires learning curve.
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References
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