Niaz Hussain Keerio, Abdul Rehman Khan, Hassan Amir Us Saqlain, Khurram Shahzad Shahwani, Farukh Hussain, Zahoor Illahi Soomro, Syed Shahid Noor

The Outcome of Proximal Femoral Nailing in Adults Treated for Subtrochanteric Femur Fractures. A Longitudinal Study

Niaz Hussain Keerio, Abdul Rehman Khan, Hassan Amir Us Saqlain, Khurram Shahzad Shahwani, Farukh Hussain, Zahoor Illahi Soomro, Syed Shahid Noor



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ABSTRACT

Aim: To assess the outcome of proximal femoral nailing (PFN) in adults treated for subtrochanteric femur fractures.

Study design: A longitudinal study

Place and Duration: This study was conducted at Muhammad Medical College and Hospital Mirpurkhas, Pakistan from  June 2020 to May 2021.

Methodology: In this study prior to surgery, all patients were immobilised. Before installation and wrapping, the other extremity rotation and length measurements were determined. Closed reduction was implemented along with the internal fixation. The Harris Hip Score was utilised to assess the postoperative outcomes. SPSS version 21 was used for data analysis.

Results: In this study, 30 patients were included; 66.66 % (n=20) were males, the majority were 31-50 years old, and the average hospitalisation time was 15.55 days. Except for three patients, all of the others could move around unassisted after five months. According to the Harris Hip Score, 16.66% (n=5) of patients had exceptional outcomes, 20% (n=4) had good outcomes, and 63.33% (n=19) had fair results.

Conclusion: PFN is a fantastic implant for femoral ST fractures. The benefits include reduced exposure (closed approach), increased stability, and earlier deployment.

Keywords: Proximal Femoral Nailing, Sub Trochanteric, femur fractures, Harris Hip Score



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