Background: The treatment of intertrochanteric fractures continues to be a challenge in orthopedic trauma, especially in geriatric population. Among the various generations of cephalomedullary nails, proximal femoral nail antirotation II (PFN A-II) is specifically designed for Asian population, with helical blade, modified proximal diameter, and modified mediolateral angle. Aim: The aim of this study was to analyze the functional outcome of patients treated with PFN A-II using Harris hip score, at our institution. The study included 20 patients (11 males and 9 females). Results: Among the 20 patients included in the study, outcome was excellent in 5, good in 11, fair in 4, and this is based on Harris hip score with the minimum follow-up period being 6 months. The average union time was 13 weeks, average Harris hip score was 82.3. An abductor lurch was reported in one patient, postoperative thigh pain in two patients, infection in three patients, and bedsore in three patients.
A comparison of the proximalnail antirotation device and dynamic hip screw in the treatment of unstable pertrochanteric fracture. J Int Med Res 2010;38(4):1266–1275. DOI: 10.1177/147323001003800408.
The Gamma nail for peritrochanteric fractures. J Bone Joint Surg Br 1992;74(3):340–344. DOI: 10.1302/0301-620X.74B3.1587873.
Comparison of long-term results of dynamic hip screw and AO 130 degrees blade plate in adult trochanteric region fractures. Acta Orthop Traumatol Turc 2010;44(6):443–451. DOI: 10.3944/AOTT.2010.2356.
Treatment of reverse oblique and transverse intertrochanteric fractures with use of an intramedullary nail or a 95 degrees screw-plate: a prospective, randomized study. J Bone Joint Surg Am 2002;84(3):372–381. DOI: 10.2106/00004623-200203000-00007.
Reverse obliquity fractures of the intertrochanteric region of the femur. J Bone Joint Surg Am 2001;83:643–650. DOI: 10.2106/00004623-200105000-00001.
Hip fractures in the elderly: a world-wide projection. Osteoporos Int 1992;2(6):285–289. DOI: 10.1007/bf01623184.
Proximal femoral nail anti-rotation (PFNA) to treat peritrochanteric fractures in elderly patients. Eur J Orthop Surg Traumatol 2012;22(3):237–243.
Proximal femoral nail vs dynamic hip screw in treatment of intertrochanteric fractures: a meta-analysis. Med Sci Monit 2014;20:1628–1633. DOI: 10.12659/MSM.890962.
Failure of PFNA: helical blade perforation and tip-apex distance. Injury 2012;43(7):1227–1228. DOI: 10.1016/j.injury.2011.10.024.
The Asia proximal femoral nail antirotation versus the standard proximal femoral antirotation nail for unstable intertrochanteric fractures in elderly Chinese patients. Orthop Traumatol Surg Res 2015;101(2):143–146. DOI: 10.1016/j.otsr.2014.12.011.
The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am 1995;77(7):1058–1064. DOI: 10.2106/00004623-199507000-00012.
Treatment of unstable trochanteric fractures: randomised comparison of the gamma nail and the proximal femoral nail. J Bone Joint Surg Br 2004;86(1):86–94.