Climacal Outcoivse Of Intertrochanteric Fractulie Fixation By Phoxirftlal Femoral Nail Antirotation

Objective:Evaluation of the surgical management, clinical outcome and complications inpatients with intertrochanteric fractures treated with PFNA nail.Material and Method:A retrospective study was conducted on25patients treated between May2012and Jun2013. The mean age of these patients was67.4years (range,50–80years).The operative time, the overall fluoroscopy time, and the duration of hospital stay werenoted.Radiological assessments were performed after surgery and during the follow-up,fracture reduction (the neck-shaft angle and the fracture gab) and the tip-apex distancewere measured. The position of the helical blade within the femoral head wasdetermined using the method of Cleveland and Bosworth. The mean follow-up periodwas6months (range3to12months).Results:Reduction was good in16patients (64%), acceptable in Six patients (24%), andpoor in Three patients (12%),. The mean collodiaphysial angle was134.5°(range124°to145°). The tip-apex distance was <25mm in19patients (76%), and>25mm in6patients (24%). The position of the helical screw in the femoral head was appropriate in22patients (85%). Conclusion:The results suggest that PFNA is a very effective and safe method in thetreatment of different patterns of intertrochanteric femoral fractures. The fixation isadequate to maintain reduction over time even in osteoporotic bones.