Comparison of the Radiological and Functional Outcome of Proximal Femoral Nail with Helical Blade versus Lag Screw in Intertrochanteric Fractures

Abstract

Introduction: Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. These fractures occur both in the elderly and the young, but they are more common in the elderly population with osteoporosis due to a low energy mechanism. The female to male ration is between 2:1 and 8:1. Operative management of these fractures is considered urgent, not emergent. This allows the many comorbidities with which patients often present to be optimized preoperatively, to reduce morbidity and mortality. Aim and objectives: Aim of the study is to compare the radiological and functional outcome of proximal femoral nail with helical blade vs. proximal femoral nail with lag screw in intertrochanteric fractures. Materials and methods: Patients fulfilling the inclusion criteria were included in the study and randomly allocated in two groups. Group patients with intertrochanteric fracture were operated with proximal femoral nail using lag screw and group B patients were operated with proximal femoral nail using helical blade.