Outcomes and Complications of Intertrochanteric Fractures Treated with Trochanteric Fixation Nail: A Study of 138 Patients

Authors: Singh AK1*, Narsaria N^{2 and Gupta RK3}

DOI: 10.23880/jobd-16000121

Volume 1, Issue 4

Abstract

Background: The aim of this prospective study was to evaluate outcomes and complications of patients with intertrochanteric fractures treated with trochanteric fixation nail.

Materials and Methods: 138 patients with intertrochanteric fractures were treated with trochanteric fixation nail from June 2011 to May 2014. There were 80 male patients and 58 females. There were 70 cases of AO type 31-A1 fractures, 32 fractures were type 31-A2 and 36 cases were type 31-A3. Union time, union rate, time to weight bearing, complications was recorded. The overall patient outcomes were summarized based on the Harris Hip Scoring system.

Results: Average time needed to do TFN fixation was 48.2 ± 10.2 minutes (range 39-74 minutes). Per-operative blood loss was 150 ± 74 ml (range 80-300 ml). Of the 138 patients, 125 patients achieved union uneventfully. The mean union time was 4.4 ± 1.3 months (range 3-7months). Nonunion occurred in 13 cases.

Conclusions: For intertrochanteric fractures fixation, trochanteric fixation nail is an effective implant in providing early mobilisation and weight bearing with comparable complication rate.

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