PFN fixation of trochanteric fracture in Chennai is a surgical procedure to treat a type of hip fracture called trochanteric fracture. This type of fracture occurs in the upper part of the femur (thigh bone), specifically in the trochanteric region. The trochanteric region consists of the greater and lesser trochanters, which are bony protrusions located at the top of the femur.
PFN stands for proximal femoral nail, which is a type of implant used in the surgery. The PFN implant is a metal rod that is inserted into the femur and held in place with screws. The implant helps to stabilize the fracture and allows for early mobilization and rehabilitation. The surgery is performed under general anesthesia, and can be done either using an open or minimally invasive technique.
The pre-operative preparation for PFN fixation of trochanteric fracture in Chennai may include several steps such as:
Medical evaluation: The patient’s medical history and current health status will be evaluated to ensure that the patient is healthy enough to undergo the surgery. This may involve a physical examination, blood tests, and other diagnostic tests as needed.
Medication management: The patient’s current medications will be reviewed, and any blood-thinning medications such as aspirin or warfarin may need to be stopped prior to the surgery to reduce the risk of bleeding.
Anesthesia: The patient will meet with an anesthesiologist to discuss the type of anesthesia that will be used during the surgery. Typically, general anesthesia is used for this procedure.
Fasting: The patient will need to fast for a certain period before the surgery, typically at least 8 hours.
Pre-operative instructions: The patient will be given instructions on what to do before the surgery, such as showering with an antiseptic soap the night before or the morning of the surgery.
Planning for post-operative care: The patient will need to arrange for transportation home from the hospital and plan for assistance with daily activities during the recovery period.
Procedure for PFN Fixation of Trochanteric Fracture in Chennai
PFN fixation of trochanteric fracture in Chennai refers to the surgical fixation of a trochanteric fracture of the femur using a proximal femoral nail (PFN). The procedure involves creating an incision in the hip area, then inserting the nail into the femur to hold the broken bone fragments in place. The PFN is made of titanium and designed to support the bone while it heals.
During the procedure, the surgeon will make an incision on the side of the hip to access the femur. They will then use X-rays to guide the placement of the nail and screws to hold the nail and bone fragments in place. The procedure typically takes about 1-2 hours to complete.
PFN fixation of trochanteric fracture in Chennai is usually performed under general anesthesia, meaning the patient will be asleep during the surgery. The patient will also receive pain medication to manage post-operative pain. In some cases, the surgeon may use regional anesthesia, such as a nerve block, to numb the hip and leg.
After the procedure, the patient will be monitored in a recovery room before being transferred to a hospital room. Physical therapy may begin the day after surgery to help the patient regain strength and mobility. The length of hospital stay and recovery time can vary depending on the individual patient and the severity of the fracture.
Post-operative care following PFN fixation of trochanteric fracture in Chennai involves a range of measures aimed at promoting healing and reducing the risk of complications. These measures include:
Pain management: Pain after surgery is common, and medications such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and opioids may be used to manage pain.
Wound care: The incision site should be kept clean and dry to reduce the risk of infection. The dressing will be changed regularly, and the wound will be monitored for signs of infection.
Mobilization: Patients are typically encouraged to begin walking with the help of a physical therapist or a walker as soon as possible after surgery. Weight-bearing restrictions may be necessary, depending on the extent of the fracture and the fixation technique used.
Physical therapy: Patients may require physical therapy to help regain strength, mobility, and range of motion in the affected hip. Exercises may be prescribed to improve flexibility and strength in the hip joint.
Follow-up visits: Patients will need to attend follow-up visits with their surgeon to monitor their progress and ensure that the fracture is healing properly. X-rays may be taken at these visits to assess the healing process.
Complication management: Complications such as infection, blood clots, and implant failure are possible after surgery. Patients should be aware of the signs and symptoms of these complications and seek medical attention if they occur.
Nutrition: A balanced and nutritious diet is important for healing and overall health. Patients may be advised to consume a diet rich in protein, vitamins, and minerals to aid in the healing process.
The exact post-operative care plan will vary depending on the individual patient and the extent of the fracture. It is important for patients to follow their surgeon’s instructions closely and to report any concerns or changes in their condition promptly.
Rehabilitation following PFN fixation of trochanteric fracture in Chennai involves a phased approach, with the focus initially on pain management, maintaining mobility, and preventing complications such as deep vein thrombosis (DVT) and pneumonia.
In the immediate postoperative period, the patient may be instructed to perform ankle pumps and deep breathing exercises to improve blood flow and prevent respiratory complications. They may also be instructed to use an incentive spirometer to improve lung function.
The patient will be allowed to bear weight on the affected leg as tolerated, with the help of an assistive device such as crutches or a walker. The use of a brace or a hip immobilizer may be necessary to provide additional support and protection during weight-bearing activities.
Physical therapy will be gradually introduced to help the patient regain strength, range of motion, and balance. Initially, passive range of motion exercises may be performed, followed by an active-assisted range of motion exercises, and finally active range of motion exercises. As the patient progresses, weight-bearing exercises and gait training may also be introduced.
It is important for the patient to follow the rehabilitation program prescribed by their surgeon and physical therapist to ensure proper healing and return to function. Full recovery can take several months and will depend on the extent of the fracture and the individual patient’s healing capacity.
