Unstable trochanteric Fracture Fixation with P.F.N. augmented by T.B.W.

Simple item page
dc.contributor.authorPatil, Dr. Vijayen_US
dc.contributor.authorDaule, Dr. Pandurangen_US
dc.contributor.authorNaikwade, Dr. Deepaken_US
dc.date.accessioned2023-07-14T07:55:15Z
dc.date.available2023-07-14T07:55:15Z
dc.date.issued2021-03
dc.description.abstractFor inter trochanteric fracture Proximal Femoral Nail (PFN) is a better choice of implant biomechanically. But in communicated inter trochanteric fractures it is associated with screw breakage, cut out through femoral head, ā€Zā€ & reverse ā€œZā€ effect and lateral migration of screws. The purpose of this study is to evaluate the results of PFN in terms of post-operative complication and failure rates in unstable trochanteric fracture with addition of 1 or 2 tension band wires. Material & Method:We did study of 21 unstable trochanteric fractures from January 2016 to November .2020. 14 patients were males & 7 patients were females. Age group between 25 to 80 was included in this group. There were 15 A0 A2 (2.2, 2.3) and 6 were A0 A3 (3.1, 3.2, 3.3). All fractures were ?xed with 25cm, 0135PFN mainly 11 mm, 12mm in diameter with addition of one or two 16 gauge tension band wire, strengthening lateral trochanteric wall and holding either communiated fragments or lesser trochanteric fracture. Results:The fracture was united in all cases with mean period of 16 weeks. Two patients developed complication of TBW (Tension Band Wire) breakage; one developed lateral migration of screws. Patients were followed till bone was united. At the end of follow up hip function were 30 (out of 40) in 80% patients by using Salvati and Wilson hip score. Conclusion: The stabilization of lateral trochanteric wall fracture and communiated fragments of inter trochanteric fractures, additional one or two TBW increases the stability of construct enhancing bony union & better results.en_US
dc.identifier.affiliationsAssistant Professoren_US
dc.identifier.affiliationsAssociate Professoren_US
dc.identifier.affiliationsProfessor & Head, Department of Orthopedics, DVVPF's Medical College & Hospital, Ahmednagar-414111, Maharashtra, Indiaen_US
dc.identifier.citationPatil Dr. Vijay, Daule Dr. Pandurang, Naikwade Dr. Deepak. Unstable trochanteric Fracture Fixation with P.F.N. augmented by T.B.W.. VIMS Health Science Journal. 2021 Mar; 8(1): 39-42en_US
dc.identifier.issn2348-523X
dc.identifier.issn2454-1982
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219093
dc.languageenen_US
dc.publisherDr. Vithalrao Vikhe Patil Foundation Ahmednagaren_US
dc.relation.issuenumber1en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.46858/vimshsj.8108en_US
dc.subjectProximal Femoral Nailen_US
dc.subjectUnstable Trochanteric fractureen_US
dc.subjectlateral trochanteric wallen_US
dc.subjectcommuniated fragmentsen_US
dc.titleUnstable trochanteric Fracture Fixation with P.F.N. augmented by T.B.W.en_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
VIMSHSJ2021v8n1p39.pdf
Size:
179.19 KB
Format:
Adobe Portable Document Format
Download
Collections
VIMS Health Science Journal (VIMSHSJ)