Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 10

Surgical Management of Intertrochanteric Fractures in Adults by Trochanteric Fixation Nail (TFN)

Mallikarjuna Reddy, Raghukumar J, Prajwal GS*, Vijaykumar K and Rajendra Pranav Prasad

Department of Orthopaedics, JJM Medical College, Davangere, Karnataka, India

*Corresponding Author: Prajwal GS, Junior Resident, Department of Orthopaedics, JJM Medical College, Davangere, Karnataka, India.

Received: August 09, 2021; Published: September 06, 2021


Background: Intertrochanteric femoral fractures are of more interest globally. Understanding biomechanics of these fractures and the development of implants had led to the various treatment modalities for these patients. The primary goal of surgical management is to provide the anatomical restoration of the normal abductor-lever-arm mechanism of the hip joint. Rigid intramedullary nailing has been suggested as a treatment option in these patients with intertrochanteric fractures due to the perceived advantages of stable fixation with higher union and low complication rates.

Objective: To prospectively review, collate and evaluate the functional outcome, advantages, union rate and complications of intertrochanteric fractures in adults using trochanteric fixation nail.

Materials and Methods: A prospective cohort study with 43 adult patients with intertrochanteric fractures were treated with trochanteric fixation nailing in JJM Medical College, Davangere between 2018 to 2020. The fractures included in the study were classified according to Boyd and Griffin classification. All the cases were followed at regular intervals as per our study protocol. The functional outcome were assessed with Modified Harris’ Hip Score.

Results: In our study, we managed 43 intertrochanteric fractures by trochanteric fixation nailing. The mean radiological union of trochanteric fractures were 12.74±3.12 weeks. The functional assessment were made with Modified Harris Hip scores which were excellent in 23 cases (53.48.48%), good in 14 cases (32.55%), fair in 4 cases (9.30%) and poor in 2 cases (4.65%). No case of helical blade cut out, Z effect and reverse Z effect were reported in our study.

Conclusion: The load sharing device, trochanteric fixation nail (TFN), decrease the patient related morbidity during intra and post-operative period in intertrochanteric fractures and improve the functional status of the patients.

Keywords: Trochanteric Fixation Nail; Intertrochanteric Fractures; Boyd and Griffin


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Citation: Prajwal GS., et al. “Surgical Management of Intertrochanteric Fractures in Adults by Trochanteric Fixation Nail (TFN)".Acta Scientific Orthopaedics 4.10 (2021): 03-08.


Copyright: © 2021 Prajwal GS., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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