Comparative analysis of outcome of different treatment modalities in surgical management of subtrochanteric fractures

Abstract

INTRODUCTION: Sub-trochanteric fractures have evolved as one of the most important causes of morbidity and mortality in elderly patients. They account for approximately 10-30% of peritrochanteric fractures. Early surgical intervention is needed in majority of the patients to avoid the major complications that can occur due to long term immobilization which include deep vein thrombosis, thrombophlebitis, urinary and lung infections and ulcers. This pattern of fracture is associated with higher rates of  malunion  and  non-union  than any  other  femoral  fractures. A number of modalities of management exists for this pattern of fracture. Our aim of study is comparative analysis of outcome of different treatment modalities in surgical management of subtrochanteric fractures MATERIALS AND METHODS: Comparative analysis of outcome of different treatment modalities in surgical management of subtrochanteric fractures at SMIMER. RESULT AND CONCLUSION:  All PFN, DCS are effective in the management of subtrochanteric  fractures. Subtrochanteric fractures are fractures which take a longer time for union. Advantages of PFN over DCS are decreased blood loss, decreased duration of surgery and less devascularisation  of  the  fracture  fragments, with  less disturbance  of fracture hematoma increased chances of closed reduction in PFN over  DCS.

 KEYWORDS: Subtrochanteric  fractures, Proximal femoral nail, Dynamic condylar screw