Abstract: Introduction: Intertrochanteric or pertrochanteric fractures of the femur are commonest fractures encountered in day-to-day orthopaedic practice and the most devastating injuries of old age. The incidence of this fracture increases with age even though the femur's neck is more common in the oldest.
Aim: Our study aims to assess the radiological and functional outcome of Intramedullary fixation of unstable pertrochanteric fractures with Trochanteric Fixation Nail.
Methods: Patients with unstable pertrochanteric fractures according to Boyd and griffin classification type-2, 3 & 4 injury between 25 to 85 years were included. Study parameters like the interval between injury and surgery, Boyd and griffin classification, operating time, c-arm exposure, blood loss fracture union, unaided weight-bearing, functional outcomes and complications were collected.
Results: Out of 20 patients operating time less than 35mins for 1 patients, 45-60mins for 14 patients, 61-75mins for 3 patients and 76-90mins for 2 patients, fracture union between 6-10 weeks for 14 patients and 11-15 weeks for 6 patients, weight-bearing in 0-6 weeks for 16 patients,7-10 weeks for 2 patients and 11-15 weeks for 2 patients, functional outcome is excellent for 16 patients and good for 4 patients and complications like abductor lurch for 4 patients, screw breakage for 2 patients and screw back out for 1 patient.
Conclusion: The Trochanteric Fixation Nail (TFN) is a versatile load sharing device that can be used for the fixation of unstable pertrochanteric fractures with less blood loss and shorter operating time than the dynamic hip screw.
