Functional Outcome Analysis of Trochanteric Fractures Treated with Proximal Femoral Nail Antirotation II

Abstract

The treatment of intertrochanteric fractures continues to be a challenge in orthopedic trauma, especially in geriatric population. Among the various generations of cephalomedullary nails, proximal femoral nail antirotation II (PFN A-II) is specifically designed for Asian population, with helical blade, modified proximal diameter, and modified mediolateral angle. The aim of this study was to analyze the functional outcome of patients treated with PFN A-II using Harris hip score, at our institution. The study included 20 patients (11 males and 9 females). Among the 20 patients included in the study, outcome was excellent in 5, good in 11, fair in 4, and this is based on Harris hip score with the minimum follow-up period being 6 months. The average union time was 13 weeks, average Harris hip score was 82.3. An abductor lurch was reported in one patient, postoperative thigh pain in two patients, infection in three patients, and bedsore in three patients. Kumar GV, Amarnath R, Kumar SS, et al. Functional Outcome Analysis of Trochanteric Fractures Treated with Proximal Femoral Nail Antirotation II. J Orth Joint Surg 2019;1(1):22–26.