International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
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Management and Outcome of Unstable Intertrochanteric Fracture by Proximal Femoral Nail Versus Proximal Femoral Nail Anti‐rotation in Elderly Patients: A Prospective Comparative Study
Ashish Kumar Paswan, Pratyush Parag and Govind Mohan Jee
Page: 89-93 | Received 09 May 2024, Published online: 03 Jul 2024
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Abstract
Intertrochanteric fractures are common in the elderly, with significant morbidity and mortality. Various fixation devices are available, with Proximal Femoral Nail (PFN) and Proximal Femoral Nail Antirotation (PFNA) being widely used. However, comparative outcomes between these two methods in elderly patients remain under‐researched. This prospective comparative study included 20 elderly patients (aged <65 years) who suffered unstable intertrochanteric fractures. They were randomly assigned to undergo surgery with either PFN or PFNA. The primary outcomes measured were post‐operative mobility, complication rates and mortality at 6 months post‐surgery.Both the PFN and PFNA groups exhibited considerable post‐operative mobility, with PFNA patients achieving a higher rate of full mobility at six months (80% vs. 60% for PFN), However the difference was statistically not significant. Additionally, while not statistically significant at the conventional 0.05 threshold, the PFNA group demonstrated a lower rate of complications (20% vs. 40% for PFN) with a p‐value of 0.96, indicating a trend toward better outcomes in terms of reducing post‐operative complications. Moreover, PFNA was associated with a significantly higher rate of successful fixation (100% vs. 90% for PFN), suggesting more reliable and robust fixation in patients treated with PFNA. These results underscore the potential benefits of PFNA in the management of unstable intertrochanteric fractures in elderly patients, particularly in achieving better mobility and fewer complications. Both PFN and PFNA are effective for managing unstable intertrochanteric fractures in the elderly, though PFNA may offer some advantages in terms of lower complication rates. Further studies with larger sample sizes are recommended to confirm these findings.
How to cite this article:
Ashish Kumar Paswan, Pratyush Parag and Govind Mohan Jee. Management and Outcome of Unstable Intertrochanteric Fracture by Proximal Femoral Nail Versus Proximal Femoral Nail Anti‐rotation in Elderly Patients: A Prospective Comparative Study.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.3.89.93
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.3.89.93