Functional Outcome of Unstable Inter Trochanteric Fractures with Osteoporosis Treated with Type II Proximal Femoral Nail

Abstract

Introduction: With increasing longevity of the population, the proportion of elderly patients experiencing osteoporosis related complications has significantly increased. The incidence of femoral intertrochanteric fractures has also increased year by year. 45% of all hip fractures are intertrochanteric fractures and 35–40% of these fractures are unstable three or four part fractures and associated with high rates of morbidity and mortality. Materials and Methods: The present studyis a cohort study to show the Functional outcome of unstable inter trochanteric fractures treated with PFNA II in elderly osteoporotic patients, and to note the radiological union in the treated people Results: In our study, the mean Age of patients age group is 71-80,6(40%) and 81-90, 6 (40%), followed by 03 (20%) patients were 61-70 years. The means of age is 70.04±12.42. In the present study & observation was done by higher Harris Hip score (HHS). Their intergroup comparison of score showed differences at every single follow-up. Additionally, the minimal blood loss, length of surgery, and a smaller incision, & Average hospital stay revealed no substantial variations. Conclusion: PFNA2 is a significant advancement in the treatment of unstable trochanteric fractures which has the unique advantages of closed reduction, preservation of fracture hematoma, less tissue damage, early rehabilitation and early return to work. Osteosynthesis using a PFNA2, used in unstable trochanteric fractures, resulted in low rates of clinical complications, excellent stabilization, few mechanical complications and adequate functional results.