COMPLICATIONS ASSOCIATED WITH THE USE OF PFN A-II IN UNSTABLE INTERTROCHANTERIC FRACTURES.

Abstract

Hip fractures are the most devastating injuries an all-age groups, with 90.0% of hip fractures in >50years’ age group. Due to increased general life expectancy of population and incidence of road traffic accidents, there is increased incidence of fractures of proximal femur. Objective: To recognise  complication associated with the use of PFN A-II in unstable intertrochanteric fractures. Methods: In our prospective study, we had included 30 elderly patients with unstable intertrochanteric fractures treated in Department of Orthopedics, Shaheed Hasan Khan Mewati Government Medical College Nalhar, Nuh. Result: The mean age of the total studied cases was 70 ± 7 years. The majority of the cases were males (63.3%) followed by females (36.7%). The cases were affected by slip and fall (40.0%), road traffic accidents (33.4%) followed by fall from height (23.3%) and 1 case was due to assault (3.3%). The cases affected their right side (56.7%) whereas the left side was affected in 43.3% of cases. The mean duration of surgery was 50.7±8.3051 minutes and the mean duration for the union was 11.57±1.19 weeks and the mean blood loss was 70.16±12.069 ml. 90% had no complications and 1 had varus collapse, 1 had experienced infection, 1 had anterior cortex impingement, no patient had helical blade backout /cut out and medial migration of blade.

Conclusion: PFN A-II being a intramedullary load sharing device with a better biomechanical advantage offers biological indirect reduction, concomitantly allowing early mobilization and weight bearing with comparatively lesser complications and less blood loss.