Thakur Prashant, Khanal Krishna Raj, Amatya Isha
Department of Orthopaedic, National Medical College Teaching Hospital.
Department of Orthopaedic, Kathmandu Medical College.
J Nepal Health Res Counc. 2022 Mar 13;19(4):805-808. doi: 10.33314/jnhrc.v19i04.3946.
Intertrochanteric fracture of femur is one of the commonest fracture seen in elderly, osteoporotic female. The main stay of treatment is fixation with dynamic hip screw or intramedullary device like Proximal Femoral Nail. Intramedullary devices are found to be more biomechanically advantageous. The functional outcome of these fractures depends on the type of fixation, age and stability of fracture. The objective of this study is to assess the functional outcome of Proximal Femoral Nail in intertrochanteric fracture.
An observational study was conducted in Kathmandu Medical College, Sinamangal from January 2018 to May 2019. 32 patients with intertrochanteric fracture were treated with proximal femoral nail during this period. The functional outcome was measured at 6 weeks, 12 weeks and 6 months using Harris hip score.
There were 46.9% males and 53.1% females with mean age of 71.09 ±12.35 years. Most of the patients sustained injury after falling from standing height (53.1%). The functional outcome measured at final follow up (6 months) with Harris hip score was good in 62.5% and excellent in 28.1% patients likewise follow up in 12 weeks was good in 15.6%.
Proximal Femoral Nail in trochanteric fractures seem to provide a good functional outcome at 6 months follow up. This technique, therefore appears to be a viable option in the management of intertrochanteric fracture of femur.
股骨粗隆间骨折是老年骨质疏松女性中最常见的骨折之一。主要治疗方法是使用动力髋螺钉或髓内装置（如股骨近端髓内钉）进行固定。发现髓内装置在生物力学方面更具优势。这些骨折的功能结果取决于固定类型、骨折的年龄和稳定性。本研究的目的是评估股骨近端髓内钉治疗粗隆间骨折的功能结果。
于2018年1月至2019年5月在加德满都医学院（Sinamangal）进行了一项观察性研究。在此期间，32例粗隆间骨折患者接受了股骨近端髓内钉治疗。使用Harris髋关节评分在6周、12周和6个月时测量功能结果。
男性占46.9%，女性占53.1%，平均年龄为71.09±12.35岁。大多数患者从站立高度跌倒后受伤（53.1%）。末次随访（6个月）时使用Harris髋关节评分测量的功能结果，62.5%的患者良好，28.1%的患者优秀；同样，12周随访时15.6%的患者良好。
股骨近端髓内钉治疗粗隆间骨折在6个月随访时似乎能提供良好的功能结果。因此，该技术似乎是治疗股骨粗隆间骨折的一个可行选择。
