Abstract: Aim: The aim of the study is to evaluate the anatomical reduction and augmenting the lateral wall with trochanteric buttress plating along with PFN in an unstable IT fractures with broken lateral wall.
Background: Unstable IT fractures have poor contact between fragments, loss of posteromedial support, reverse oblique type, severe comminution and has subtrochanteric extension. Unstable IT fracture with coronal split presents a great challenges to an orthopaedic surgeon. This study evaluates augmenting the lateral wall with trochanteric buttress plating along with PFN for unstable IT fractures with a broken lateral wall.
Design: Prospective study.
Materials and Methods: Totally 20 patients of unstable intertrochanteric fractures treated in Rajah Muthiah Medical College and Hospital were studied during the study period August 2020 to November 2022.
Result: In our study the patients were followed up for 1 year. Modified Haris Hip Score was excellent in 60% of the patients with the mean value of 87.25. Mean duration of surgery 99.25 min. Mean blood loss 330ml.Mean time of union 15.15 weeks.
Conclusion: Although reconstruction of calcar is a main predictor of successful trochanteric fracture fixation, augmenting the lateral wall with Trochanteric buttress plate along with PFN is also a Major factor for successful fixation of unstable IT fractures.
