Proximal femoral nail in Intertrochanteric femoral fractures

Abstract

Introduction: Proximal femoral nails (PFN) have been introduced recently but have begun to compete the traditional dynamic hip screw. The mechanical strength of the nail and less invasive procedure has made the procedure preferable. This is a short retrospective review of 26 cases operated in the last two years. Methods: A retrospective review was conducted of 26 cases operated during two years of study which had completed at least a year of follow up. All had been treated using a proximal femoral nail for unstable intertrochanteric fractures of femur. A radiological assessment was made with serial X-rays. Results: The operating time was found to be short, less blood loss was seen during surgery and few early complications were noted. All cases were relatively free from long term complications. Conclusions: PFN is a suitable implant for unstable intertrochanteric femoral fractures needing open reduction internal fixation. It has low per operative and post operative morbidity.