Functional Outcome of Unstable Intertrochanteric femur fracture treated with intramedullary nailing

Abstract

Background: Femoral pertrochanteric fracture is one of the most frequently occurring fractures in the elderly, usually following trivial trauma. In the younger age group of people, it occurs almost always due to high velocity trauma. Objectives: This study aimed to study the functional outcome of operative management of unstable intertrochanteric fracture treated by intra medullary nailing. The results have been studied in depth with a view to outline guideline for better management of this fracture. Material & Methods: A prospective study of 75 cases of unstable intertrochanteric femur fracture treated by intra medullary nailing, minimum 6 months of follow up. All cases are evaluated according to Modified Harris Hip Score on residual effects on clinical ground at final examination. Pain & functional capacity are the two basic considerations for this scoring system. Points are given for pain, function, range of motion & absence of deformity. Result: Functional result according to Modified Harris Hip score was found to be excellent in 43(57.33%) patients, good in 19(25.33%) patients, fair in 3(44%) patients & poor in 10(13.33%) patients. poor outcome occurs due to development of complications and old age & medical illness. Conclusion: Modified Harris Hip Score is good score to evaluate functional outcome of the unstable intertrochanteric fracture treated with intramedullary nailing. Unstable intertrochanteric fracture treated with intramedullary nailing gives Excellent to Good (82.66%) functional results. Key words: Unstable intertrochanteric fracture, Modified Harris Hip score, Proximal Femoral Nail.