Intertrochanteric fractures is the fracture of the proximal femur, in which the fracture line extends from the greater trochanter to lesser trochanter 1. Intertrochanteric fractures are common in patients above 60 years of age, however it may also occur in young adults. Nine out of ten intertrochanteric fractures occur in elderly, which is usually of a low velocity trauma occurring with the female to male ratio of 3:1.We studied the clinical outcome of unstable intertrochanteric fracture surgically managed by PFN-A.
Materials & Methods: Design: A preliminary study. Duration: August 2015 - December 2016 Sample: 30 patients with unstable intertrochanteric fractures were treated surgically by PFN-A.
Age –All patients after skeletal maturity. Cases of intertrochanteric fractures based on AO system of classification
Patients with sub-trochanteric fractures. Non-ambulatory patients before injury. Patient unfit for anaesthesia. Patients with Osteoarthritis of hip before injury They were followed up for a minimum period of 1 year by the senior author and evaluated for clinical outcome using X-RAYS, SALVATTI and WILSON HIP SCORE.
Results: Out of 30 cases 28 cases had excellent results without complications. 1 case had helical blade backed out, and did not come for follow up other case had superior migration of the helical blade, but the fracture is united.
Conclusion: In our study of 30 cases of unstable intertrochanteric fractures, were effectively treated surgically with PFN-A gave excellent results & to be considered the best surgical modality for unstable Intertrochanteric fracture management.