An investigation into the problems of Proximal Femoral Nails (PFN) in the management of intertrochanteric fractures
Keywords:
PFN, Intertrochanteric fracture, management of intertrochantericAbstract
Aim: An investigation into the problems of proximal femoral nails in the management of intertrochanteric fractures. Methods: This research comprised 50 patients with intertrochanteric fractures who received intramedullary fixation with PFN. The limb was adducted and held in traction. Under C-arm guidance, the entry location was seen, and a guide wire was passed over the fracture site. To repair the fracture, a short PFN with proximal and distal locking was inserted under C-arm guidance. Results: There were 33 men and 17 women. In 28 cases, the right side was implicated, whereas the left side was engaged in 22 patient. The average period of follow-up was 13 months. Closed reduction was used in 40 patients, whereas open reduction was used in 10 patients. Complications occurred in 15 of 50 individuals. All were early issues, and the causes of failure were investigated. Complications include a broken nail at the distal locking screw level (2%), screw back out (2%), perioperative proximal femur fracture (4%), inadequate fracture reduction (2%), varus distortion (4%), improper positioning of the distal locking screw (2%), placement of a single screw in the neck (4%), abductor lurch (4%), and Infection on the surface (4%).
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