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ORIGINAL ARTICLE
Year : 2022  |  Volume : 19  |  Issue : 1  |  Page : 17-23

Proximal femoral nail versus proximal femoral nail Antirotation 2 in the fixation of intertrochanteric fractures: A prospective and comparative study of clinico-radiological outcomes


Department of Orthopedics, Baby Memorial Hospital, Calicut, Kerala, India

Correspondence Address:
M Harisankar
Department of Orthopaedics, Baby Memorial Hospital, Calicut - 673 004, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joasis.joasis_4_22

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Intertrochanteric fractures of the femur is one of the most common fractures encountered by an orthopedician during his practice. Hence, it is considered highly relevant to compare the clinico-radiological outcome of intertrochanteric fractures treated with the two different intramedullary implants – proximal femoral nail (PFN) and PFN Antirotation2 (PFNA2) with a critical note on their efficacy. Source of Clinical Data: The clinical material for the present study consists of 78 cases of fresh trochanteric fracture of traumatic etiology meeting the inclusion and exclusion criteria. Study Design: This is a prospective, randomized comparative study. Conclusion: There was no significant difference between the two groups in terms of clinical or functional outcome. However, fluoroscopic exposure and the duration of surgery were significantly lower with PFNA2. Hence, we conclude that PFNA2 is a better option for the treatment of intertrochanteric fractures of hip.


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