Long-term radiographic complications following treatment of unstable intertrochanteric femoral fractures with the proximal femoral nail and effects on functional results

Acta orthopaedica et traumatologica turcica
Metin UzunIsmail Bülent Ozçelik

Abstract

We aimed to evaluate radiographic complications occurring after treatment of unstable intertrochanteric hip fractures with the Proximal Femoral Nail (PFN) and their effect on functional results. The study included 35 patients (23 women, 12 men; mean age 71 years; range 62 to 111 years) who were treated with the PFN for unstable intertrochanteric hip fractures. According to the AO classification, there were 12 type AII-1, 12 AII-2, 3 AII-3, 3 AIII-1, 5 AIII-3 fractures. The mean time to surgery was 13 days (range 5 to 32 days). Closed reduction was achieved in 31 patients. The patients were evaluated clinically (Harris hip score) and radiographically after a mean follow-up of 32.4 months (range 26 to 52 months) and complications were recorded. Reduction was assessed as good or acceptable in all the patients. The mean tip-apex distance was measured as 24.2 mm (range 16 to 40 mm). Complete union was achieved in all but two patients. The mean Harris hip score was 82.1. The results were excellent in 11 patients (31.4%), good in 15 patients (42.9%), fair in seven patients (20%), and poor in two patients (5.7%). Radiographic complications mainly included secondary varus displacement in nine patients (25.7%), and calcification at the t...Continue Reading

Citations

Mar 8, 2014·International Journal of Surgery·Zhenhai HouZhijun Pan
Jul 23, 2015·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Mustafa SeyhanAfsar Timucin Ozkut
Aug 12, 2016·Indian Journal of Orthopaedics·Sampat S Dumbre PatilAbhijeet S Ranaware
Feb 12, 2017·SICOT-J·Wasudeo M GadegoneYogesh Salphale
Jul 5, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Vikram Khanna, Mukesh Tiwari

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