title: Intramedullary osteosynthesis of instable intertrochanteric femur fractures with Profin® nail in elderly patients.
abstract: OBJECTIVE
  The aim of this study was to retrospectively analyze the radiologic and functional results of patients with instable intertrochanteric femur fractures treated with Profin® nails.
  
  
  METHODS
  This study included 32 patients (24 female, 8 male; mean age: 70.7 years; range: 65 to 96 years) who were treated with Profin® nails for instable intertrochanteric fractures. Fractures were caused by a simple fall in 30 patients and pedestrian accident in two. Eleven patients had Type 31-A2 and 21 patients had Type 31-A3 fractures according to the AO/OTA classification. Results were evaluated clinically and radiologically. Mean follow-up period was 17.3 (range: 12 to 23) months.
  
  
  RESULTS
  Good or acceptable reduction was achieved in 93.7% of our patients. Mean surgery duration was 28.2 (range: 22 to 75) minutes and mean blood loss was 215 (range: 150 to 320) cc. Complete union was achieved in all patients at a mean of 17.6 (range: 15 to 22) weeks. Postoperative mean collodiaphyseal angle was 125.5 (range: 122 to 130) degrees and there was no significant difference with follow-up values (p>0.05). Twenty-two patients were able to walk with support and 10 without support after surgery. Mean Oxford hip score was 23.70 (range: 14 to 39) points. One year mortality rate was 18.75%.
  
  
  CONCLUSIONS
  Good functional and radiologic results can be achieved using Profin® nails for unstable intertrochanteric femur fractures in elderly patients.
authors.affiliation: Department of Orthopedics, Şişli Etfal Training and Research Hospital, İstanbul, Turkey.
authors.forename: Ramazan Erden
authors.initials: RE
authors.lastname: Ertürer
authors.forename: Mesut Mehmet
authors.initials: MM
authors.lastname: Sönmez
authors.forename: Seçkin
authors.initials: S
authors.lastname: Sarı
authors.forename: Mustafa Faik
authors.initials: MF
authors.lastname: Seçkin
authors.forename: Adnan
authors.initials: A
authors.lastname: Kara
authors.forename: Irfan
authors.initials: I
authors.lastname: Oztürk
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D004185:Disability Evaluation; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000517:prevention & control; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome