Hip fixation nail (HFN): Amulticentric prospective analysis of 189 cases of trochanteric and proximal femur fractures with a follow up of one year and more


Article type :

Original Article

Author :

Shashikant Basavraj Ganjale*, Kailas Umaji Sanamadikar

Volume :

10

Issue :

4

Abstract :

Background : Encouraging results of final outcome with radiological and clinical function were observed in initial successful pilot study of Hip fixation nail in 43 cases studied in January 2020 to May 2022. This study was done individually by the author Dr Shashikant B Ganjale, who innovated this HFN. Now a Multicentric study was done by group of orthopaedic colleagues residing in different geographical areas. The cases were operated and followed up by studying the radiological, clinical results and functional outcomes were assessed individually and reported. The results were analysed by taking average of all findings of multicentric study and a final clinical results were observed and documented. Aim and Objective : To have a multicentric study and assess the radiological and clinical functional outcomes of trochanteric and proximal femur fractures using Hip Fixation Nail operated at different geographical areas by different orthopaedic surgeons and have an unbiased prospective analysis and its mean results using Kyle’s criteria. Materials and Methods : A small group of orthopaedic surgeons residing in different places studied individually by treating all intertrochanteric and peritrochanteric fractures along with few subtrochanteric fractures using HFN and long HFN .Trochanteric Buttress plate was also used along with HFN or Long HFN in Lateral wall fractures of proximal femur as per case. Results : The individual reports of final radiological, clinical and functional outcomes were documented and were grouped in common pool for analysis. An average of all results were documented and were found to be excellent and very much satisfactory using Kyle’s criteria. Conclusion : The results of Hip Fixation Nail in treating stable and unstable trochanteric pertrochanteric and long HFN in subtrochanteric fractures of femur are promising and excellent.

Keyword :

Hip fixation nail (HFN), Multicentric prospective study, Trochanteric and Proximal femur fractures