The Complications Associated with Proximal Femoral Nailing in the Trochanteric Fractures of Femur.

Abstract

Trochanteric fractures are one of leading cause of hospital stay in older age group patients. Conservative methods of treatment results in malunion with shortening and limitation of hip movement as well as complications of prolonged immobilization like bed sores, deep vein thrombosis and respiratory infections. PFN is an excellent implant for the treatment of trochanteric fractures. With a proper technique PFN gives excellent clinical results with almost negligible varus collapse even in unstable trochanteric fractures. Regarding the techniques, reaming the proximal part of femur adequately and observing the nail passage with image carefully are important in placing the nail correctly, while, placement of lag screw in the inferior part of neck in anterior posterior projection and central in lateral projection reduces risk of implant failure. The terms of successful outcome include a good understanding of fracture biomechanics, proper patient selection, good preoperative planning, accurate instrumentation, good image intensifier. The present study shows the functional outcome of proximal femoral nail in trochanteric fractures of femur and the complications associated with proximal femoral nailing in the trochanteric fractures of femur