Hussain, Muhammad RaquibAlam, Md. JahangirSarker, Manash ChandraHuq, Md. SanaulHasan, Mohammad ZahidAhmed, AshiqHasan, NeyamulRahman, Sajeeb Imtiazur2024-12-072024-12-072024-05Hussain Muhammad Raquib, Alam Md. Jahangir, Sarker Manash Chandra, Huq Md. Sanaul, Hasan Mohammad Zahid, Ahmed Ashiq, Hasan Neyamul, Rahman Sajeeb Imtiazur. Outcome of Surgical Treatment of Subtrochanteric Femoral Fracture with Proximal Femoral Nailing in a Tertiary Hospital in Bangladesh. Annals of International Medical and Dental Research. 2024 May; 10(3): 26-342395-28222395-2814https://imsear.searo.who.int/handle/123456789/241018Background: Subtrochanteric fractures of the femur remain one of the most challenging fractures confronting orthopaedic surgeons. Bearing all the advantages of PFN, the present study was carried out to observe its efficacy on subtrochanteric fracture management in a tertiary level hospital like NITOR. The aim of this study was to evaluate the outcome of surgical treatment using proximal femoral nailing for subtrochanteric femoral fractures in patients treated at a tertiary hospital in Bangladesh. Material & Methods: This prospective observational study was conducted at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) in Dhaka, Bangladesh, from January 2019 to December 2020. Employing purposive sampling, 31 cases were selected due to availability constraints. Data were collected using a structured questionnaire covering history, clinical examination, laboratory investigations, and follow-up findings. Inclusion criteria comprised individuals above 18 years with closed subtrochanteric fractures. Statistical analysis was performed using SPSS 23.0. Results: In our study of 31 subtrochanteric femoral fracture cases, 38.7% of patients were aged 60 to 79 years. According to Seinsheimer classification, 22.6% of fractures were type IIA. Among the cases, 48% were reduced by closed method, while 52% required open reduction. No complication occurred in 26 (83.9%) cases. 18 (58%) cases had no pain at last follow up. Out of 31 cases, 21 (67.7%) were excellent at the final outcome. Conclusions: Treatment of subtrochanteric fracture by proximal femoral nailing is an effective and safe method without any significant complication.Subtrochanteric femoral fractureSurgical treatmentProximal femoral nailingOutcomeTertiary hospital.Outcome of Surgical Treatment of Subtrochanteric Femoral Fracture with Proximal Femoral Nailing in a Tertiary Hospital in BangladeshJournal ArticleIndiaInstitute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: muhammadraquibhussain@gmail.com, Orcid ID: 0009-0009-9364-1635Professor, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: drjahangiralam@yahoo.com, Orcid ID: 0009-0004-8619-0841Senior Consultant, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: mcsdv2009@yahoo.com, Orcid ID: 0009-0001-0933-1776Junior Consultant, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: sanaul.shuvo@gmail.com, Orcid ID: 0009-0008-7784-5761Assistant Registrar, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: hasanzahid83@gmail.com, Orcid ID: 0009-0000-8919-8575Assistant Registrar, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: drahmedashiq@gmail.com, Orcid ID: 0009-0002-7462-9488Medical Officer, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh. Email: mnhasan.ms@gmail.com, Orcid ID- 0009-0006-0376-0189Medical Officer, Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh.