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- Title
EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES.
- Authors
Ali Shah, Syed Waris; Aslam, Muhammad Zeeshan
- Abstract
Objective: To analyze the early outcomes of treatment with proximal femoral nail antirotation (PFNA) in patients with unstable intertrochanteric femoral fracture. Study Design: Retrospective cross-section study. Place and Duration of Study: Pakistan Naval Ship (PNS) Shifa Hospital Karachi, from Jan 2015 to Dec 2016. Methodology: Non-probability convenience sampling was used to include unstable intertrochanteric femoral fractures which were treated with proximal femoral nail antirotation. Outcomes were measured in terms of operating time, per-operative blood loss, postoperative weight bearing and complications. Results: A total of 35 patients were analyzed. Mean age was 69.7 years (range 48-91, standard deviation (SD) ± 2.28). There were 18 males (51.4%) and 17 females (48.6%) patients. Majority of fractures were Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) type 3-1- A-2.3 and were seen in 16 patients (45.7%). Average operative time was 39.8 minutes (range 20-85 minutes SD ± 12.38). Mean intra-operative blood loss was 27.7ml (range 15 to 45 ml SD ± 9.18). Two patients (5.7%) had superficial surgical site infection. Post-operatively 16 patients (45.7%) were mobilized full wight bearing with support and 18 patients (51.4%) were mobilized partial weight bearing. Results of current study are quite promising as all fractures subsequently healed without significant complications. Conclusion: Proximal femoral nail antirotation is asuitable implant for unstable intertrochanteric femoral fractures as it is minimally invasive, has no significant blood loss and being intra-medullary early post-opweight bearing can be started.
- Subjects
KARACHI (Pakistan); PAKISTAN; INTRAMEDULLARY rods; SURGICAL site infections; WARSHIPS; FRACTURE healing; STANDARD deviations; NONPROBABILITY sampling
- Publication
Pakistan Armed Forces Medical Journal, 2020, Vol 70, Issue 3, p711
- ISSN
0030-9648
- Publication type
Article