Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
To evaluate the role of Trochanter‐Shaft Angle in Selection of Entry Site for Femoral Nail Insertion and reducing complications. Observational study. Postgraduate Institute of Medical Education and Research. A total of 70 cases. were evaluated in this. study, divided into two groups of 35 each. Group A in which 35 cases entry was in accordance to the basis of Trochanter‐shaft angle and Group B in which 35 cases not following the basis of trochanter‐shaft angle. Group A has 22 males and 13 females, group B has 25 males and 10 females. Results were made separately for each of the mis‐alignments i.e. displacement, angulation, rotation, varus/valgus deformity, comminution based on their incidence in each of the categories. Group A experienced fewer complications, with only 6 cases, where comminution was the most common issue. In contrast, Group B had 22 cases of complications, with displacement being the most prevalent. The independent T‐test analysis showed Group B had a statistically significant higher complication rate compared to Group A (p=0.012). Moreover, the prevalence of complications in Group B (26 cases) was notably higher than in Group A (6 cases), with significant differences in displacement and varus/valgus deformities (p=0.41 and p=0.10, respectively). Findings of this study indicate that using TSA to guide the entry hole for the insertion of femoral nail results in a lower complication rate, emphasizing the benefit of incorporating TSA in clinical practice for improved surgical outcomes.
How to cite this article:
Ankur , Ram Avtar, O.P. Lakhwani, Navodeep , Anupam Mural and Rohan Krishnan. Optimizing Entry Point for Femoral Nailing: Role of Trochanter‐Shaft Angle in Reducing Complications.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.180.185
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.180.185