Functional Outcome of Intertrochanteric Fractures of the Femur Treated With Standard Surgical Modalities

Introduction: Among the most prevalent injuries among the elderly with trivial trauma are trochanteric fractures. Osteoporosis and female sex are additional risk factors. The patient's age, the fracture, their overall health, the amount of time between the fracture and treatment, the effectiveness of the treatment, any concurrent medical care, and the stability of the fixation all affect how well the patient responds to treatment. For its fixation, various implants are used. The main aim of this study is to assess the functional outcome in intertrochanteric fractures using the Harris Hip Scoring in intertrochanteric fractures.

Method: Patients presenting with intertrochanteric femur fracture were evaluated. Written consent was taken from the patient. Radiographic data were collected. Complications and varus collapse evaluated. Functional outcome was assessed with the Harris Hip Scoring system.

Results: The proportion of excellent Harris Hip Evaluation (HHE) scores was the highest in proximal femur nail (PFNA2) at six months follow-up examination, which was 11 (57.19%) more than any method. In the incidence of varus deformity, the proportion was maximum in the case of the dynamic hip screw (DHS) with three patients (33.33%), followed by PFN in 11 patients (28.95%), and the least for PFNA2 in three patients (15.79%).

Conclusion: The mean operative time was lower in the PFN A2 group, and the HHE score values were higher than those of PFN and DHS. This study concludes that these implants have a comparable radiological and functional outcome for unstable intertrochanteric fracture except for less surgical time and blood loss in PFN A2.