EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES
Objective: To analyze the early outcomes of treatment with proximal femoral nail antirotation (PFNA) in patients with unstable intertrochanteric femoral fracture. Study Design: Retrospective cross-section study. Place and Duration of Study: Pakistan Naval Ship (PNS) Shifa Hospital Karachi, from...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2020-06-01
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| Series: | Pakistan Armed Forces Medical Journal |
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| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/4608/2715 |
| _version_ | 1818587002025541632 |
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| author | Syed Waris Ali Shah Muhammad Zeeshan Aslam |
| author_facet | Syed Waris Ali Shah Muhammad Zeeshan Aslam |
| author_sort | Syed Waris Ali Shah |
| collection | DOAJ |
| description | Objective: To analyze the early outcomes of treatment with proximal femoral nail antirotation (PFNA) in patients with unstable intertrochanteric femoral fracture.
Study Design: Retrospective cross-section study.
Place and Duration of Study: Pakistan Naval Ship (PNS) Shifa Hospital Karachi, from Jan 2015 to Dec 2016.
Methodology: Non-probability convenience sampling was used to include unstable intertrochanteric femoral fractures which were treated with proximal femoral nail antirotation. Outcomes were measured in terms of operating time, per-operative blood loss, postoperative weight bearing and complications.
Results: A total of 35 patients were analyzed. Mean age was 69.7 years (range 48-91, standard deviation (SD) ± 2.28). There were 18 males (51.4%) and 17 females (48.6%) patients. Majority of fractures were Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) type 3-1-A-2.3 and were seen in 16 patients (45.7%). Average operative time was 39.8 minutes (range 20-85 minutes SD ± 12.38). Mean intra-operative blood loss was 27.7ml (range 15 to 45 ml SD ± 9.18). Two patients (5.7%) had superficial surgical site infection. Post-operatively 16 patients (45.7%) were mobilized full wight bearing with support and 18 patients (51.4%) were mobilized partial weight bearing. Results of current study are quite promising as all fractures subsequently healed without significant complications.
Conclusion: Proximal femoral nail antirotation is asuitable implant for unstable intertrochanteric femoral fractures as it is minimally invasive, has no significant blood loss and being intra-medullary early post-opweight bearing can be started. |
| first_indexed | 2024-12-16T09:01:55Z |
| format | Article |
| id | doaj.art-e6ea306c8e1e4c0ab2d517a9e1256356 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-16T09:01:55Z |
| publishDate | 2020-06-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-e6ea306c8e1e4c0ab2d517a9e12563562022-12-21T22:37:10ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422020-06-01703711714EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURESSyed Waris Ali Shah0Muhammad Zeeshan Aslam1Pakistan Naval Ship (PNS) Shifa Hospital, Karachi PakistanPakistan Naval Ship (PNS) Shifa Hospital, Karachi PakistanObjective: To analyze the early outcomes of treatment with proximal femoral nail antirotation (PFNA) in patients with unstable intertrochanteric femoral fracture. Study Design: Retrospective cross-section study. Place and Duration of Study: Pakistan Naval Ship (PNS) Shifa Hospital Karachi, from Jan 2015 to Dec 2016. Methodology: Non-probability convenience sampling was used to include unstable intertrochanteric femoral fractures which were treated with proximal femoral nail antirotation. Outcomes were measured in terms of operating time, per-operative blood loss, postoperative weight bearing and complications. Results: A total of 35 patients were analyzed. Mean age was 69.7 years (range 48-91, standard deviation (SD) ± 2.28). There were 18 males (51.4%) and 17 females (48.6%) patients. Majority of fractures were Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) type 3-1-A-2.3 and were seen in 16 patients (45.7%). Average operative time was 39.8 minutes (range 20-85 minutes SD ± 12.38). Mean intra-operative blood loss was 27.7ml (range 15 to 45 ml SD ± 9.18). Two patients (5.7%) had superficial surgical site infection. Post-operatively 16 patients (45.7%) were mobilized full wight bearing with support and 18 patients (51.4%) were mobilized partial weight bearing. Results of current study are quite promising as all fractures subsequently healed without significant complications. Conclusion: Proximal femoral nail antirotation is asuitable implant for unstable intertrochanteric femoral fractures as it is minimally invasive, has no significant blood loss and being intra-medullary early post-opweight bearing can be started.https://www.pafmj.org/index.php/PAFMJ/article/view/4608/2715ao classificationintertrochanteric femur fractures |
| spellingShingle | Syed Waris Ali Shah Muhammad Zeeshan Aslam EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES Pakistan Armed Forces Medical Journal ao classification intertrochanteric femur fractures |
| title | EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES |
| title_full | EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES |
| title_fullStr | EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES |
| title_full_unstemmed | EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES |
| title_short | EARLY OUTCOMES OF PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES |
| title_sort | early outcomes of proximal femoral nail antirotation pfna for unstable intertrochanteric femoral fractures |
| topic | ao classification intertrochanteric femur fractures |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/4608/2715 |
| work_keys_str_mv | AT syedwarisalishah earlyoutcomesofproximalfemoralnailantirotationpfnaforunstableintertrochantericfemoralfractures AT muhammadzeeshanaslam earlyoutcomesofproximalfemoralnailantirotationpfnaforunstableintertrochantericfemoralfractures |