Prospective randomized study of outcome of proximal femur nail (PFN) in proximal femur fractures

Proximal Femur fractures are common injuries occurring predominantly as low-energy injuries in the elderly, mostly due to direct injury to hip (e.g. fall). These days intramedullary nails are becoming the implant of choice for unstable proximal femur fractures, as it offer certain distinct advantages in proximal femur fractures. This prospective randomized study was conducted at department of Orthopedics in Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur to compare outcomes of proximal femur nail. Surgery duration was less in PFN because most of the cases were reduced closed, less exposure was done and associated less closure time. Intra operative image intensifier use was significantly more in PFN group because of requirement of accurate placement of lag screw, distal locking and identification of nail length. Post operatively sole aim of the treatment was to make the patient upright, mobilize as early as possible. In follow up of cases at 16 and 24 weeks as per activity of daily living Patients had very little restriction in Activity of Daily Living. On concluding the outcome as per Salvati-Wilson Score at 24 weeks excellent score was found in 50% cases of PFN while it was fair in 50% cases.