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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Evaluation of Functional and Radiological Outcome of PFN A2 in Intertrochanteric Fractures of Femur

Adarsh U. Thuppad, R. Manjunatha, Arjun V. Patil, Harsh Kirthi Rao, Sangamesh , Santosha and H.M. Naveena
Page: 393-395 | Received 17 Aug 2024, Published online: 28 Oct 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.11.393.395

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Abstract

The incidence of intertrochanteric fracture is rising because of increase in survival of elderly population with osteoporosis and also the increase in the number of motor vehicle accidents. The treatment of choice is normally surgical with internal fixation. The surgical options for these fractures commonly include fixation with dynamic hip screaw or cephalomedullary nailing. Due to its advantages over DHS, cephalomedullary nailing is the predominant procedure in many parts of the world. Various varieties of cephalomedullary nails are available. Standard PFN‐240mm is introduced by AO/ASIF in 1996 and it is the reference nail for other varieties of PFN. PFN‐A is a modification of standard PFN and introduced by AO/ASIF in 2003 to address the complications of PFN. PFN‐A2 is a modification of PFN‐A to suit Asian population. In this study we are evaluating functional and radiological outcome of PFN A2. This is a prospective study conducted on patients of intertrochanteric fracture reported to a tertiary health care center. After obtaining informed and written consent, patients who met inclusion and exclusion criteria were involved in the study and surgical fixation of fracture with PFN A2 is performed. Operating time, intra operative blood loss is analysed. Patients are followed up till 1‐year post op in different intervals, functional outcome using Harris hip score, fracture union and complications are assessed. The mean age of the patients with IT fracture is 71.29 years with male gender and right sided predominance. The mean operating time is 66.8 minutes., mean blood loss is 237.2 ml and mean time of radiological union is 13.14 weeks. Post‐operative Harris hip score at post op 6 weeks is 66.77, at post op 3 months is 73.75, at post op 6 months is 83.86 and at post op 1 year is 88.81. PFN A2 is one of the implants of choice for the treatment of IT with less intra operative blood loss, less operating time, good Harris hip score and with significant less complication rates. We recommend the use of PFN A2 for all IT fractures.

How to cite this article:

Adarsh U. Thuppad, R. Manjunatha, Arjun V. Patil, Harsh Kirthi Rao, Sangamesh , Santosha and H.M. Naveena. Evaluation of Functional and Radiological Outcome of PFN A2 in Intertrochanteric Fractures of Femur.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.393.395
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.393.395