Oğuz KAYA, Mustafa IŞIK, Burçin KARSLI, Orhan BÜYÜKBEBECİ, Ahmet ŞENEL, Nevzat GÖNDER

Clinical and radiological results of patients with femoral intertrochanteric fractures treated with proximal femoral nailing

The purpose of this study was to assess the long-term clinical, functional, and radiological results of the patients who underwent osteosynthesis of femoral intertrochanteric fractures using proximal femoral nails (PFNs). The study included forty patients who had PFN osteosynthesis of intertrochanteric fractures between May 2009 and October 2014 and were followed up on for at least 24 months. The average duration of follow-up was 52.6±5.4 months. The patients' clinical, functional, and radiological findings were reviewed retrospectively. The fracture types were determined using the Evans-Jensen classification, and the radiological evaluation was done using Fogagnolo's reduction quality criteria. Fifteen fractures (37.5%) were stable, while 25 (62.5%) were unstable. The most common complication was varus union (10 percent). In 90% of patients, good and acceptable reduction criteria were met. In functional evaluation, 31 patients (77.5%) received excellent or good HHSs. Because of its advantages such as low bleeding amount, short surgical duration, fast mobilization, and long-term satisfactory functional results, proximal femoral nailing should be considered in the first steps of the treatment algorithm for femoral intertrochanteric fractures.

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