title: Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases.
abstract: OBJECTIVE
  In this study, we aimed to report the results of a retrospective study carried out at our institute regarding cases of patients who had suffered proximal femoral fractures between January 2002 and February 2007, and who were treated with a proximal femoral nail.
  
  
  METHODS
  One hundred consecutive cases were included in the study. A case documentation form was used to obtain intraoperative data including age, sex, mechanism of injury, type of fracture according to Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) classification and the American Society of Anesthesiologists' (ASA) physical status classification (ASA grade). Clinical and radiographic examinations were performed at the time of admission and at the 6th week; subsequent visits were organized on the 3rd month, 6th month, and 12th month, and in patients with longer follow-up and annually postoperatively. The Harris score of hip function was used, and any change in the position of the implants and the progress of the fracture union, which was determined radiologically, was noted.
  
  
  RESULTS
  The mean age of the patients was 77.66 years (range: 37-98 years), and the sex distribution was 32 males and 68 females. Seventy-three fractures were reduced by closed means, whereas 27 needed limited open reduction. The mean follow-up time for the study group was 31.3 months (range: 12-75 months). Postoperative radiographs showed a near-anatomical fracture reduction in 78% of patients. The Harris hip score was negatively correlated with the ASA score and patient age. No cases of implant failure were observed. Three patients died before discharge (one due to pulmonary embolism, two due to cardiac arrest), and five patients died due to unrelated medical conditions within the first 3 months of the follow-up.
  
  
  CONCLUSIONS
  Our study showed that proximal femoral nail is a reliable fixation with good fracture union, and it is not associated with major complications in any type of trochanteric femoral fracture.
authors.affiliation: Department of Orthopedics and Traumatology, Inonu University School of Medicine, Malatya, Turkey.
authors.forename: Mehmet Fatih
authors.initials: MF
authors.lastname: Korkmaz
authors.affiliation: Department of Orthopedics and Traumatology, Nisantasi University School of Medicine, Istanbul, Turkey.
authors.forename: Mehmet Nuri
authors.initials: MN
authors.lastname: Erdem
authors.affiliation: Department of Anesthesiology, Malatya Government Hospital, Malatya, Turkey.
authors.forename: Zeliha
authors.initials: Z
authors.lastname: Disli
authors.affiliation: Department of Family Medicine, Inonu University School of Medicine, Malatya, Turkey.
authors.forename: Engin Burak
authors.initials: EB
authors.lastname: Selcuk
authors.affiliation: Department of Orthopedics and Traumatology, Inonu University School of Medicine, Malatya, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Karakaplan
authors.affiliation: Department of Orthopedics and Traumatology, Florence Nightingale Hospital, Istanbul, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Gogus
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: ASA; Harris score; femoral fracture; proximal femoral nail
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