Print ISSN:-2395-1354

Online ISSN:-2395-1362


Article History

Received : 28-02-2021

Accepted : 01-06-2021

Available online : 12-06-2021

Article Metrics

Downlaod Files


Article Access statistics

Viewed: 98

PDF Downloaded: 101

Management of comminuted intertrochanteric fractures with TFN -A (Trochanteric Femoral Nailing - Advanced) in elderly patients – A prospective study

Full Text PDF Share on Facebook Share on Twitter

Original Article

Author Details : Arunodhaya Siddartha S, Pramod B M, Tushar Pimpale, Mayur Chandrashekar*, Mruthyunjaya

Volume : 7, Issue : 2, Year : 2021

Article Page : 164-169

Suggest article by email


Background: A study was undertaken to evaluate the surgical management of intertrochanteric fractures with Trochanteric Femoral Nailing – Advanced design as a fixation device, and to determine the rate of union, complications, operative risks and functional outcome of intertrochanteric fractures in elderly patients.
Materials and Methods: The fractures were classified according to BOYD and GRIFFIN classification system. 40 patients of intertrochanteric fractures fulfilling the inclusion and exclusion criteria, were managed surgically using Trochanteric Femoral Nail – Advanced. The results were analyzed according to age, type of fracture, operative details and functional outcome using KYLE’s criteria.
Results: Totally 40 patients with intertrochanteric fractures were operated with TFN-A and were included in the study. The mean age of the patients was around 74.97 years with minimum age being 54 years and the maximum being 92 years. The mean duration of operation was recorded to be 59.69 mins. Complications in this study were seen in 4 patients (10%). Complication was surgical site infection 2 patients (5%), helical blade back out 1 patient (2%), greater trochanteric fracture 1 patient (2%).
Conclusion: Trochanteric Femoral nailing-advanced is a versatile implant for all comminuted intertrochanteric fractures, especially in elderly and osteoporotic patients in terms of operating time, surgical exposure, blood loss, and complication rates.

Keywords: Intertrochanteric fractures, Trochanteric femoral nail- advanced, (TFN-A), Dynamic hip screw, KYLE’s criteria.

How to cite : Arunodhaya Siddartha S, Pramod B M, Pimpale T , Chandrashekar M , Mruthyunjaya, Management of comminuted intertrochanteric fractures with TFN -A (Trochanteric Femoral Nailing - Advanced) in elderly patients – A prospective study. Indian J Orthop Surg 2021;7(2):164-169

Copyright © 2021 by author(s) and Indian J Orthop Surg. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (

Wiki in hindi