A study to compare the intra operative parameters (including complications) using Piriformis fossa entry antegrade femoral nail and greater trochanter entry antegrade femoral nail in fracture shaft of femoral

Author(s): Dr. Sitender, Dr. Abhishek Guria and Dr. V. K. Sharma

Abstract: Femoral shaft fractures can be managed conservatively or surgically. Conservative management in the form of skeletal traction followed by hip spica or cast brace has limited indication. With time, it has become essential to treat these patients surgically unless and until surgery is contraindicated. In this comparative study, a cohort of 60 patients with fracture shaft of femur was included. Participants were divided by random number table method into groups with 30 patients in each group. In the first group Piriformis fossa entry Antegrade femoral nailing was used and in the second group Greater Trochanter entry femoral nail was used for fixation of femoral diaphysis fracture. Fluoroscopy time, duration of surgery, incision length and blood loss was less in GT group than PF group with significant statistical result. There was decreased fluoroscopy time and decreased operative time in patients who were obese.