Hip fixation nail [HFN] /Intramedullary hip screw nail IMHSN management of trochanteric fractures with hip fixation nail- Innovative nail:A prospective pilot study in initial 43 cases

Abstract

Intertrochanteric fractures can be fixed with various implants with surface implants or intramedullary implants. A study was done on Fixation of trochanteric fractures with Hip Fixation Nail/Intra Medullary Hip Screw an innovative cephalomedullary nail designed by author to determine its efficacy, union operative use and functional outcome. Trochanteric fractures of hip were classified upon number of parts, stable and unstable fractures in initial 43 cases. All Intertrochanteric fractures stable as well as unstable were fixed and stabilized by Dr Shashikant B Ganjale’s innovative Nail Hip Fixation nail (HFN) / Intra medullary hip screw Nail (IMHSN). 5 cases were fixed with Trochanteric Buttress Plate alongwith Hip fixation nail for lateral wall comminution.The results were Excellent in 31 cases, Good in 5 cases, and fair in 2 cases as seen in our study according to Kyles criteria. Five cases did not follow up. Author’s (Dr Shashikant B Ganjale) innovative Nail Hip Fixation nail /Intra medullary Hip Screw Nail (IMHSN) is very simple minimally invasive, cephalomedullary single screw fixation nail suitable for fixing all stable and unstable trochanteric fractures especially in young as well as elderly osteoporotic patients with minimal instrumentation and excellent functional outcome.