Clinical, Radiological & Functional Outcome of Intertrochanteric Fractures Managed with Cephalomedullary Nail with Helical Blade in Elderly Patients

Introduction & Aim: Intertrochanteric fractures are very common in geriatric population. We present our experience in surgical management of intertrochanteric fractures with cephalomedullary nail with helical blade in the management at Maharaja Agrasen Medical College, Agroha. Methods: The study was conducted from October 2022 to December 2023 and included 35 patients above 60 years of age. Clinical and radiological evaluation was done at 6 weeks, 3 months and 6 months. Functional outcome was assessed according to Harris Hip Scoring Scale. Results: The average age of patients in our study was 69.57 years with male preponderance. Slip and fall was the mode of injury in 85.7% cases. The average duration of surgery was 47.9 minutes. The average time of union was 15.94 weeks. There was no case of delayed union, non-union and deep infection. The average Harris Hip Score was 84.42. Conclusion: Cephalomedullary nail with helical blade is a good implant option for the operative management of intertrochanteric fractures, especially in the elderly osteoporotic individuals.