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Analysis Study Research Paper | Orthopaedic Surgery | India | Volume 12 Issue 5, May 2023
Proximal Femoral Nail Antirotation and Intertan in Treatment of Unstable Intertrochanteric Fractures - A Comparative Study
Singh Varunendra | Maurya Anup | Jaidev K | Singh Archana
Abstract: Purpose: To compare intraoperative and postoperative outcomes of two cephalomedullary implants in treatment of unstable intertrochanteric fracture. Method: A comparative follow up study was conducted at a tertiary care hospital of north India in which we included 144 hemodynamically stable patients of unstable intertrochanteric fracture who were treated with two cephalomedullay implants viz Proximal femoral nail antirotation (PFNA) and Inter-Tan. The implants were randomly selected and the surgeons were blinded regarding use of implant till it was opened during surgery. The two implants were compared for intraoperative complications, operative time, post operative healing, Visual analogue score for operation site pain and hip pain, radiological and Harris hip score were compared during follow up at 14th day, 1month, 3month and 06 month duration. Mean and standard deviations were calculated and normal distribution of continuous data was tested by using independent sample t-test and ANOVA. Results: Total 144 patients were studied of which 72 were in each group. Both the implants were comparable for intraoperative complications except for blood loss during surgery which was marginally higher in Inter-Tan cases. The operative time was significantly high in cases of Inter-Tan implant. Hip pain was more in cases of PFNA implant. VAS and Harris hip score were comparable in both the groups. Conclusion: This study compared two newer cephalomedullary nails which are comparably effective in managing unstable intertrochanteric fractures. The advantage of both implants lies in their ability to stabilize the fracture, follow up studies are required to understand biomechanical properties of these implants.
Keywords: Intertrochanteric fracture, cephalomedullary nail, Proximal femoral nail antirotation (PFNA), Inter-Tan
Edition: Volume 12 Issue 5, May 2023,
Pages: 1133 - 1137