Comparative Analysis of Functional Outcomes: Extramedullary Versus Intramedullary Fixation in Unstable Inter-Trochanteric Femoral Fractures

Extramedullary Versus Intramedullary Fixation

Authors

  • Rasheed Ahmed Bhatti Department of Orthopaedic Surgery, Bilawal Medical College for Boys Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Ashfaque Hussain Mirjat Department of Orthopeadic Surgery, Suleiman Roshan Medical College, Tando Adam, Pakistan
  • Awais Abro Department of Orthopeadic Surgery, Kulsoom Bai Valika Hospital, Karachi, Pakistan
  • Lachman Das Maheshwari Department of Orthopaedic Surgery and Traumatology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Agha Mahtab Hussain Department of Orthopeadic Surgery, Suleiman Roshan Medical College, Tando Adam, Pakistan
  • Faisal Memon Department of Orthopaedic Surgery and Traumatology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i06.1736

Abstract

Unstable trochanteric femoral fractures are challenging to manage. Two options exist for the operative treatment and management of unstable trochanteric fractures; i.e. extramedullary or intramedullary stabilization. However, there is a dearth of good evidence of the clinical efficacy of either of the two methods especially in terms of functional outcomes. Objective: To compare the functional outcome following fixation of unstable trochanteric femoral fractures via extramedullary versus intramedullary methods. Methods: This prospective cohort was conducted upon 46 adult patients and admitted at Liaquat University Hospital Hyderabad/Jamshoro, after taking written informed consent from parents. Functional outcomes utilizing the Timed Up and Go Test and Harris Hip Score, at 3 months and 6 months post-surgery and radiographic parameters were gathered to evaluate heterotopic ossification and femoral neck shortening at follow-up visits using a pre-structured questionnaire. The data was analyzed with SPSS V.21 and Microsoft Excel 2016. Results: The sample predominantly consisted of males, with a mean age of 31 ± 5 years. Intramedullary fixation showed superior early mobility outcomes and maintained better hip function scores compared to extramedullary fixation for unstable inter-trochanteric femoral fractures. Intramedullary fixation also demonstrated lower rates of heterotopic ossification and less femoral neck shortening, indicating potential benefits in reducing complications and preserving anatomical integrity. Conclusions: In conclusion, the study findings suggest intramedullary fixation as a favorable option for optimizing functional recovery and radiographic outcomes in such fractures

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Published

2024-06-30
CITATION
DOI: 10.54393/pjhs.v5i06.1736
Published: 2024-06-30

How to Cite

Bhatti, R. A., Mirjat, A. H., Abro, A., Maheshwari, L. D., Hussain, A. M., & Memon, F. (2024). Comparative Analysis of Functional Outcomes: Extramedullary Versus Intramedullary Fixation in Unstable Inter-Trochanteric Femoral Fractures: Extramedullary Versus Intramedullary Fixation . Pakistan Journal of Health Sciences, 5(06), 104–108. https://doi.org/10.54393/pjhs.v5i06.1736

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