Retrospective Study Of Proximal Femoral Nail In Management Of Unstable Trochanteric Fractures Of Femur

Prakriti Raj Kandel


INTRODUCTION: Proximal femoral nails (PFN) have been introduced relatively recent but have begun to compete the traditional Dynamic Hip Screw (DHS). The mechanical strength of the nail and less invasive procedure has made the procedure preferable. This is a short retrospective review of 48 cases operated in the last 3 years.

MATERIAL AND METHODS: A retrospective review of 48 cases operated in the last three years which have completed at least a year of follow up with us. All have been treated using a PFN for unstable intertrochanteric fractures of femur. A radiological assessment was made with serial X-rays.

RESULTS: The operating time was found to be short, less blood loss was seen during surgery and few early complications were noted. All cases were relatively free from long term complications.

CONCLUSION: PFN is a suitable implant for unstable intertrochanteric femoral fractures needing open reduction internal fixation. It has low per operative and post operative morbidity.


Intertrochanteric fractures; Proximal femur; PFN

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