Clinico-radiological and functional outcome of intertrochanteric femur fractures treated by proximal femoral nail antirotation Asia 2(PFNA2) in Indian patients

Author(s): Dr. Hemant H Mathur and Dr. Bhavinkumar M Rathva

Abstract: Intertrochanteric femur fractures were one of the most common fracture of the hip especially in the elderly patients usually due to low energy trauma and in young patients due to high velocity trauma. Intertrochanteric femur fractures were treated by extramedullary as well as intramedullary implants. Intramedullary implants have better functional outcome and stable anatomical fixation than extramedullary implants. Among intramedullary implants, proximal femoral nail antirotation Asia 2(PFNA2) is become much popular due to better functional outcome. Purpose of this study is to analyze clinico-radiological and functional outcome of intertochanteric femur fractures treated by proximal femoral nail antirotation Asia 2(PFNA2). A prospective study of 50 intertrochanteric femur fractures treated with proximal femoral nail antirotation Asia 2 (PFNA2) at SSG hospital, Vadodara were taken up and followed up for 2 years between October 2017 to September 2019. The functional outcome was assessed with Harris hip score. The mean Harris hip score was 86 at final follow-up. Proximal femoral nail antirotation Asia 2 (PFNA2) is safe and effective fixation implant for treatment of intertrochanteric femur fracture in Indian patients due to less blood loss, less intraoperative complications, minimal soft tissue damage and good union rate.

DOI: https://doi.org/10.22271/ortho.2020.v6.i2n.2154