Abstract:

Background: Unstable intertrochanteric fractures mainly comprise of Posteromedial comminution, Lesser Trochanteric fracture contains portion of the calcar,Comminution of greater trochanter and adjacent posterolateral shaft predispose to medial shaft migration andReverse obliquity.Trochanteric fractures are common in the elderly people. The incidence of trochanteric fractures is more in the female population compared to the male due to osteoporosis. surgery by internal fixation of the fracture is ideal choice. Material and methods:The present study consists of 30 adult patients of unstable intertrochanteric factures of femur satisfying the inclusion criteria, who are treated with proximal femoral nail in Osmania Medical College and General Hospital, Afzalgunj, Hyderabad. The study is carried out from July 2017 to July 2020.prospective study. A standard length PFN nail (250 mm) was used for short proximal femoral nailing cases. For long proximal femoral nailing cases, length of the nail was measured individually. Results: Functional results were assessed taking 30 cases (15 long PFN + 15 short PFN) into consideration using Harris Hip Scoring System (Modified). In our study, according to Harris Hip Score (modified), good results were seen in 66.66% cases of intertrochanteric fractures using long PFN. In our study, according to Harris Hip Score (modified), good results were seen in 33.33% cases of intertrochanteric fractures using short PFN.Conclusion: In our results, it was evident that the use of long PFN has advantages over short PFN in terms of the less postoperative complications,less mean time of union and better lower extremity functional scores.

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