Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study
Introduction: Cephalomedullary nails are preferred over intramedullary nails for internal fixation of unstable intertrochanteric fractures; however, they are associated with complications as they do not match the anatomy of the proximal femur to a great extent. Aim: To investigate functional an...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/14892/47772_CE[Ra1]_F[SK]_PF1(AB_SL)_PN(KM).pdf |
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| author | C Yashavanth Kumar P Ashok Kumar P Rahul Harshad M Shah Sandesh Patil Rahul V Gawalkar |
| author_facet | C Yashavanth Kumar P Ashok Kumar P Rahul Harshad M Shah Sandesh Patil Rahul V Gawalkar |
| author_sort | C Yashavanth Kumar |
| collection | DOAJ |
| description | Introduction: Cephalomedullary nails are preferred
over intramedullary nails for internal fixation of unstable
intertrochanteric fractures; however, they are associated with
complications as they do not match the anatomy of the proximal
femur to a great extent.
Aim: To investigate functional and radiological results of Zimmer
natural nails in the management of unstable intertrochanteric
fractures.
Materials and Methods: A longitudinal prospective study of
99 patients with unstable intertrochanteric fractures was carried
out. All patients underwent closed reduction and internal fixation
with 180 mm short Zimmer natural nails. Follow-up visits were
scheduled for six weeks, three months, and six months for
radiological healing and mobility measurements using RUSH and
Parker scores, respectively. Statistical analysis was performed
using Chi-square and ANOVA.
Results: Mean age of patients was 69.77±11.47 years with
a male to female ratio of 1:1. A majority of patients had comorbidities like diabetes mellitus and hypertension. Average
duration of surgery was 58.38 minutes with no statistically
significant difference among the different categories of
unstable intertrochanteric fractures. Fixation of fractures with
Zimmer natural nails increased Parker score and RUSH score
consistently with each follow-up visit (p<0.05). There were no
postoperative complications in 93.94% cases.
Conclusion: This study emphasised good functional and
radiological results of Zimmer natural nails in the treatment of
unstable intertrochanteric fractures. |
| first_indexed | 2024-12-16T13:00:54Z |
| format | Article |
| id | doaj.art-23eb9707a78c4a7f95e31f672ca8a849 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-16T13:00:54Z |
| publishDate | 2021-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-23eb9707a78c4a7f95e31f672ca8a8492022-12-21T22:30:51ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-05-01155RC05RC0810.7860/JCDR/2021/47772.14892Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal StudyC Yashavanth Kumar0P Ashok Kumar1 P Rahul2Harshad M Shah3Sandesh Patil4Rahul V Gawalkar5Associate Professor, Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bangalore, Karnataka, India.Professor and Head, Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bangalore, Karnataka, India.Assistant Professor, Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bangalore, Karnataka, India.Professor, Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bangalore, Karnataka, India.Junior Resident, Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bangalore, Karnataka, India.Junior Resident, Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bangalore, Karnataka, India.Introduction: Cephalomedullary nails are preferred over intramedullary nails for internal fixation of unstable intertrochanteric fractures; however, they are associated with complications as they do not match the anatomy of the proximal femur to a great extent. Aim: To investigate functional and radiological results of Zimmer natural nails in the management of unstable intertrochanteric fractures. Materials and Methods: A longitudinal prospective study of 99 patients with unstable intertrochanteric fractures was carried out. All patients underwent closed reduction and internal fixation with 180 mm short Zimmer natural nails. Follow-up visits were scheduled for six weeks, three months, and six months for radiological healing and mobility measurements using RUSH and Parker scores, respectively. Statistical analysis was performed using Chi-square and ANOVA. Results: Mean age of patients was 69.77±11.47 years with a male to female ratio of 1:1. A majority of patients had comorbidities like diabetes mellitus and hypertension. Average duration of surgery was 58.38 minutes with no statistically significant difference among the different categories of unstable intertrochanteric fractures. Fixation of fractures with Zimmer natural nails increased Parker score and RUSH score consistently with each follow-up visit (p<0.05). There were no postoperative complications in 93.94% cases. Conclusion: This study emphasised good functional and radiological results of Zimmer natural nails in the treatment of unstable intertrochanteric fractures.https://www.jcdr.net/articles/PDF/14892/47772_CE[Ra1]_F[SK]_PF1(AB_SL)_PN(KM).pdfcephalomedullary nailship fracturesintramedullary fracture fixation |
| spellingShingle | C Yashavanth Kumar P Ashok Kumar P Rahul Harshad M Shah Sandesh Patil Rahul V Gawalkar Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study Journal of Clinical and Diagnostic Research cephalomedullary nails hip fractures intramedullary fracture fixation |
| title | Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study |
| title_full | Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study |
| title_fullStr | Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study |
| title_full_unstemmed | Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study |
| title_short | Zimmer Natural Nails in the Treatment of Unstable Intertrochanteric Fractures: A Longitudinal Study |
| title_sort | zimmer natural nails in the treatment of unstable intertrochanteric fractures a longitudinal study |
| topic | cephalomedullary nails hip fractures intramedullary fracture fixation |
| url | https://www.jcdr.net/articles/PDF/14892/47772_CE[Ra1]_F[SK]_PF1(AB_SL)_PN(KM).pdf |
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