Isolated greater trochanteric fracture

Background: The incidence of inter trochanteric fracture is expected to have doubled by 2040. Inter trochanteric fractures account for about 45% to 50% of all hip fractures in the elderly populationand out of these, near about 50% to 60% are classified as unstable intertrochanteric fractures. The goal of treatment is restoring mobility safely and efficiently, while minimizing the risk of medical complications and technical failure. This study as performed to assess functional outcome with dynamic hip screw and proximal femoral nail in intertrochanteric fracture management.Methods: It was prospective observational study done for a period of 1year from January 2016-January 2017 among patients who attended OPD or emergency department with intertrochanteric fracture. Two different implants were used dynamic hip screw (DHS) and proximal femoral nail (PFN).Results: Excellent results in functional outcome was more in case of PFN (66.6%) compared to DHS (50%). The type of trauma in DHS group was road traffic accident in 38.8%, domestic fall in 50% and others such as assault was in 11.1% while in PFN group intertrochanteric fracture was seen in 61.1% due to domestic fall.Conclusions: The functional outcome was more better with proximal femoral nail (PFN) compared to dynamic hip screw (DHS). Therefore, proximal femoral nail (PFN) should be preferred for management of intertrochanteric fractures.

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Contribution of the Dual Mobility Acetabulum in the Treatment of Trochanteric Fracture in the Elderly

Orthopedic Research Online Journal ◽

10.31031/oproj.2019.06.000635 ◽

2019 ◽

Vol 6 (2) ◽

Author(s):

Ait El Hadj L

Keyword(s):

Trochanteric Fracture ◽

The Elderly ◽

Dual Mobility

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A COMPARATIVE STUDY BETWEEN DYNAMIC HIP SCREW AND PRIMARY HEMIARTHROPLASTY IN TROCHANTERIC FRACTURE OF FEMUR IN ELDERY

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/372 ◽

2013 ◽

Vol 2 (9) ◽

pp. 1015-1021

Author(s):

Prasanta Kumar Mandal ◽

Dibakar Ray ◽

Mrinal Kanti Ray ◽

Fagu Ram Majhi ◽

Somnath Tirkey ◽

...

Keyword(s):

Comparative Study ◽

Trochanteric Fracture ◽

Dynamic Hip Screw ◽

Hip Screw

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Short versus standard PFN outcome analysis in unstable intertrochantric fracture

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20183675 ◽

2018 ◽

Vol 4 (5) ◽

pp. 747

Author(s):

Pravin Kumar Jangde ◽

Anant Kumar Singh

Keyword(s):

Hip Fractures ◽

Trochanteric Fracture ◽

The Elderly ◽

Outcome Analysis ◽

Femoral Canal ◽

Femoral Nail ◽

Group 2 ◽

One Year ◽

Group B ◽

Group 1

Background: Hip fractures in the elderly are frequent. Intertrochanteric hip fractures account for approximately half of all hip fractures in the elderly; of these, from 50% to 60% are classified as unstable. In our study we tried to compare outcome of unstable trochantric fracture in terms length of PFN (180 vs 240 mm).Methods: 80 patients of unstable trochanteric fracture were randomly allotted to 2 groups who were treated with closed reduction and internal fixation with proximal femoral nail of size 180 mm(group A) and 240mm (group B). Patients in both the group were compared right from the fracture configuration till the one year post-operative period.Results: In the study of 80 patients there were 18 males (45%) and 22 females (55%) in group 1, and 23 male (57%) and 17 female (42.5%) in group 2. Group 1 patient had a better range of movements than group 2. Femoral canal impingement was present in 6 (15%) of patients of group 1 and 28(70%) patients of group 2 showed femoral canal impingement.Conclusions: There are very few studies which compare the length of PFN to the outcome. The standard PFN group presented with complications like femoral nail impingement and hence more thighs pain and less range of movements even after one year of follow up. We conclude that for Indian group of population who have a relatively short femora gives a better result with a shorter length implant.

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Internal fixation of trochanteric fracture following hip resurfacing

Injury Extra ◽

10.1016/j.injury.2011.06.415 ◽

2011 ◽

Vol 42 (11) ◽

pp. 183-185 ◽

Cited By ~ 1

Author(s):

Gwithyen Silk ◽

Marshall Sangster ◽

Harvinder Sandhu

Keyword(s):

Internal Fixation ◽

Trochanteric Fracture ◽

Hip Resurfacing

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Breakage of a Third Generation Gamma Nail: A Case Report and Review of the Literature

Case Reports in Orthopedics ◽

10.1155/2013/172352 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 11

Author(s):

Takashi Iwakura ◽

Takahiro Niikura ◽

Sang Yang Lee ◽

Yoshitada Sakai ◽

Kotaro Nishida ◽

...

Keyword(s):

Rare Complication ◽

Trochanteric Fracture ◽

High Strength ◽

The Elderly ◽

Gamma Nail ◽

Bipolar Hemiarthroplasty ◽

Third Generation ◽

Trochanteric Fractures ◽

Cemented Bipolar Hemiarthroplasty ◽

Fractures Of The Femur

The use of intramedullary nails to treat trochanteric fractures of the femur has increased with the increasing size of the elderly population. The third generation Gamma nail is currently one of the most popular devices for the treatment of trochanteric fractures. Nail breakage is a rare complication, possibly resulting from fatigue fracture of the implant. We present the first reported case of breakage of a third generation Gamma nail that was not used to treat a pathological fracture. An 83-year-old woman with an unstable trochanteric fracture of the femur was treated using a third generation Gamma nail. She was referred to our hospital 14 months postoperatively with nail breakage at the opening for the lag screw. The breakage was secondary to nonunion, which was thought to be mainly due to insufficient reduction of the fracture. The broken nail was removed, and the patient underwent cemented bipolar hemiarthroplasty. At followup 18 months later, she was mobile with a walker and asymptomatic with no complications. This case shows that inadequate operation such as insufficient reduction of the trochanteric fracture may result in nonunion and implant breakage, even when using a high-strength, well-designed implant.

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