Year: 2024 | Month: March | Volume: 11 | Issue: 3 | Pages: 440-447
DOI: https://doi.org/10.52403/ijrr.20240353
Radiological Differences Following Proximal Femoral Nail Antirotation (PFNA) Compared to the Contralateral Side and Its Correlation with Harris Hip Score (HHS) in Intertrochanteric Femoral Fracture After Three Months
Agus Suarjaya1, I Ketut Siki Kawiyana2, Wien Aryana2
1Resident of Orthopaedics & Traumatology Department, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah General Hospital
2Consultant of Orthopaedics & Traumatology Department, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah General Hospital
Corresponding Author: Agus Suarjaya
ABSTRACT
Introduction: The incidence of intertrochanteric femoral fractures, which account for 50% of all hip fractures, is increasing as a result of the aging population. While PFNA surgery typically enhances outcomes, certain individuals continue to have pain, stiffness, and difficulties with their gait. This study aims to determine whether there is a correlation between post-surgical complications and changes in hip joint angles assessed three months following PFNA to lead future advances in PFNA surgery for older persons by comparing impacted and unaffected hips and correlating angles with patients' hip ratings.
Methods: This study included 42 individuals who underwent surgery for intertrochanteric fractures aged 50 and above. Eligible participants must possess the ability to walk before to the study, have no history of previous leg fractures, and be capable of participating in rehabilitation. Individuals having comorbidities impacting these aspects or those unable to partake were not included.
Result : This study looked at hip angles in 42 people who had surgery intertrochanteric fracture. While the participants varied in age and gender, the surgery itself didn't seem to significantly change the angles of their hip bones or their ability to walk. This suggests that PFNA may not directly affect hip mechanics on its own.
Conclusion: This study indicates that attaining acceptable hip angles during the procedure could enhance patients' mobility and post-operative condition. Further investigation involving bigger cohorts and extended periods of observation is necessary to validate these findings and ascertain whether modifying these angles during surgery will result in improved outcomes following PFNA.
Keywords: Intertrochanteric fracture; Hip fracture; PFNA
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