Fixation of proximal femoral fractures by cephalomedullary nailing has become very popular due to the superior biomechanics and prevention of various complications associated with sliding hip screw.
Material and Methods: In this study we followed 94 patients admitted and managed in the Department of orthopaedics at SGRRIMHS Dehradun. the followup period was of one year duration during which the functional status of patients was assessed by Oxford hip score at regular intervals.
Results: All the patients had uneventful post-op recovery. The pain swas quite severe in 70% of the patients at 1 month but by end of 12 months 76% of patients had very mild or no hip pain. No significant difference in hip score was seen in patients managed by long nails and short nails. for the first 3 followups at 1, 3 and 6 months no significant difference between scores of hips managed by open and closed reduction was seen however at 12 months the score of hips managed by open reduction was lower. All the fractures were united at the end of 1 year.
Conclusion: Although Although cephalomedullary nailingg in proximal femoral fractures is a bit technically demanding it has the advantage of providing rotational as well as axial stability and excellent clinical results allowing a faster post-operative restoration of walking ability, with overall better outcome.