Augmented Proximal Femoral Nail in Unstable Intertrochanteric Fracture Femur | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 7, July 2024 | ||
| DOI: 10.58675/2682-339X.2552 | ||
| Authors | ||
| Mohamed Hassan; Ali Al Gyoushi; Mohamed Abdelkader | ||
| Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Trochanteric femur fractures are extracapsular fractures of the proximal femur, often treated with proximal femoral nails. Augments like screws, washers, cement, cerclage, plates, and screws can add stability, high pull-out strength, and reduce healing time and weight-bearing. Aim of the work: To document and assess the subjective and objective outcomes of various types of augmentation with proximal femoral nails in unstable intertrochanteric fractures. Patients and methods: We conduct prospective research on 20 cases with isolated intertrochanteric femur fractures. We divided the patients into three groups according to augmentation procedure: Group One consists of 6 patients treated by cerclage augmentation, Group Two of 7 patients treated with cement augmentation, and Group Three of 7 patients treated with gamma nail augmentation. Results: The mean age was 51.9±15.7 years; most were males, 13 and 7 were females. Most of our patients were right-handed 17, and only three were left-handed. Most of our patients suffered from swelling 15 patients and nine patients suffered from deformity, five patients suffered from other injuries, three patients suffered from skin changes, and at least one was in a neurovascular state. conclusion: Intramedullary fixation utilizing PFNA nails with augmentation represents a viable and secure therapeutic alternative for intertrochanteric fractures of the femur that cannot be repaired by closed anatomical reduction. | ||
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