A Prospective Study of Functional Outcomes And Complications of Trochanteric Femoral Nail In Intertrochanteric Fractures.

Abstract

A trivial fall account for 90% of intertrochanteric fractures of femur in elderly occurs commonly because of osteoporotic bone 1, 2. Where as in young individuals it may be a result of high energy injury such as motor vehicle accident or fall from height.2 The incidence of fractures of the proximal femur is increasing since the general life expectancy of the population and related osteoporosis has increased significantly during the past few decades. They are second most common fractures related to osteoporosis, next only to spine. There were an estimated 1.66 million hip fractures worldwide in 1990 and this world wide annual number is expected to reach 6.26 million by the year 2050, intertrochanteric ones taking a major share of them. Cummings et al.3 noted that neither age related osteoporosis, nor the increasing incidence of falls with age sufficiently explains the exponential increase in the incidence of hip fracture with aging.