040 68334455
Chat for Appointment
Patient Reports / Login
International Patient CareProximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery by Expert Orthopedics
At Medicover Hospitals, our orthopaedic team, with qualifications like MS and DNB, performs open Proximal Femoral Nail Fixation for intertrochanteric fractures. This surgical approach helps stabilise fractures effectively. Patients often experience reduced recovery time and shorter hospital stays.
Expert Surgeons
Yearly Surgeries
Patient Satisfaction
What is Proximal Femoral Nail Fixation for Intertrochanteric Fracture?
Proximal Femoral Nail Fixation is a surgical procedure used to treat intertrochanteric fractures. These fractures occur in the upper part of the femur (thigh bone) near the hip joint. The procedure involves the insertion of a metal rod (nail) into the femur to stabilize the broken bone. This helps in proper alignment and healing of the fracture.
This surgery is needed when there is a fracture in the intertrochanteric region of the femur. Such fractures are common in older adults due to falls or osteoporosis. If left untreated, it can lead to severe pain, immobility, and complications like blood clots. Modern surgical approaches include minimally invasive techniques and image-guided procedures, which help in quicker recovery and reduced hospital stay.
Proximal Femoral Nail Fixation for Intertrochanteric Fracture Doctors Near You
Discover experienced orthopedics for proximal femoral nail fixation at Medicover Hospitals across India. Choose your city and book a consultation to address intertrochanteric fractures with expert care.
Why Choose Medicover Hospitals for Proximal Femoral Nail Fixation for Intertrochanteric Fracture?
Get a second opinion from trusted experts and makeconfident, informed decisions.
Get Second Opinion
Complete Guide To Proximal Femoral Nail Fixation For Intertrochanteric Fracture
Everything you need to know about the procedure, preparation, and recovery
Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery Indications
Doctors recommend proximal femoral nail fixation for patients with intertrochanteric fractures when non-surgical treatments are insufficient. This procedure helps stabilize the fracture, allowing for proper healing and improved mobility.
Severe Pain and Inability to Bear Weight
Patients often experience intense pain in the hip region and cannot bear weight on the affected leg. Physical examination reveals tenderness and swelling. When pain management and rest do not improve mobility, surgery is considered.
Displaced Fracture on X-ray
An X-ray may show a displaced fracture in the intertrochanteric region of the femur. This displacement can lead to improper healing if not surgically addressed. When alignment cannot be maintained with conservative methods, surgical fixation is necessary.
Failure of Conservative Treatment
Initial treatments like traction or bracing may fail to provide relief or stability. Persistent symptoms and lack of healing progress over weeks indicate the need for surgical intervention to ensure proper bone alignment and healing.
Multiple Fracture Lines
Imaging may reveal multiple fracture lines in the femur. These complex fractures are challenging to manage non-surgically. Surgery helps in stabilizing the bone and promoting effective healing.
High Risk of Non-union
In cases where there is a high risk of non-union due to poor bone quality or fracture pattern, surgery is advised. This helps in achieving stable fixation and reducing the risk of complications.
How to Prepare for Proximal Femoral Nail Fixation for Intertrochanteric Fracture?
Proper preparation for proximal femoral nail fixation is crucial for a smooth surgery and recovery. It helps minimise risks and ensures the best possible outcome.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Do not eat or drink anything for at least 8 hours before the surgery.
- Pre-Operative Tests: Complete all required blood tests, ECG, and imaging as instructed.
- Clothing: Wear loose, comfortable clothing on the day of surgery for easy dressing post-operation.
- Transportation: Arrange for someone to drive you home after discharge.
- Medication List: Bring a list of current medications with dosages for hospital records.
- Home Preparation: Set up a recovery area at home with essentials within easy reach.
- Hydration: Stay well-hydrated in the days leading up to surgery unless advised otherwise.
Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery (Step-by-Step)
Overview: This procedure is performed by orthopaedic surgeons. It typically lasts 1-2 hours. General or regional anaesthesia is used.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort and pain-free surgery.
- Incision: A small incision of about 2-3 cm is made near the hip. This allows access to the femur.
- Reaming: A guide wire is inserted into the femur. Reamers are used to create a path for the nail.
- Nail Insertion: A proximal femoral nail is inserted over the guide wire. It stabilizes the fracture internally.
- Fixation: Screws are placed through the nail into the femoral head. This secures the nail and maintains bone alignment.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to recovery. Monitoring continues as anaesthesia wears off.
Who Performs Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery?
This surgery is performed by orthopaedic surgeons. They specialise in treating bone and joint conditions. Their expertise ensures proper alignment and healing of fractures.
Recovery After Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery
Recovery from proximal femoral nail fixation involves gradual healing and regaining mobility. It's important to follow your doctor's advice to ensure a smooth recovery.
Day 1-3:
- Hospital stay for monitoring and pain management.
- Begin with light physiotherapy exercises as advised.
- Start with a liquid diet, gradually moving to soft foods like soups and khichdi.
Day 4-7:
- Continue physiotherapy to improve mobility.
- Introduce semi-solid foods such as dal-rice and moong dal.
- Avoid putting weight on the affected leg unless advised by the doctor.
Week 2-4:
- Increase physiotherapy intensity to strengthen muscles.
- Incorporate curd and other protein-rich foods for bone healing.
- Gradually resume light activities, avoiding strenuous tasks.
Month 1-3:
- Progress to weight-bearing exercises as tolerated.
- Return to work or school may be possible, depending on recovery.
- Continue a balanced diet to support overall health.
When to Seek Urgent Help:
- Severe pain or swelling in the operated area.
- Fever or signs of infection like redness or discharge.
- Difficulty in breathing or chest pain.
Benefits of Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery
Proximal femoral nail fixation is a widely used surgical method to treat intertrochanteric fractures. It offers several benefits for patients.
- Stability: Provides strong fixation, allowing early weight-bearing.
- Minimally Invasive: Smaller incisions lead to reduced tissue damage.
- Reduced Healing Time: Facilitates quicker recovery compared to other methods.
- Lower Risk of Implant Failure: Designed to withstand high stress, reducing failure risk.
Risks and Complications of Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery
While generally safe, proximal femoral nail fixation carries some risks and potential complications.
Common Risks
- Infection at the surgical site.
- Blood clots forming in the legs (deep vein thrombosis).
Rare Risks
- Nerve or blood vessel damage during surgery.
- Implant-related issues such as breakage or loosening.
- Non-union or delayed union of the fracture.
- Allergic reaction to the implant material.
Cost of Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery
The cost of Proximal Femoral Nail Fixation for Intertrochanteric Fracture Surgery at Medicover Hospitals varies depending on the ward category. The price range is from ₹1,20,000 to ₹1,80,000, across different ward types. The cost is transparent and varies by the chosen ward category.
We offer insurance and TPA support, including CGHS, ESI, and major TPAs, with a cashless facility available. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Proximal Femoral Nail Fixation for Intertrochanteric Fracture surgery cost at Medicover Hospitals?
The cost of Proximal Femoral Nail Fixation for Intertrochanteric Fracture surgery at Medicover Hospitals ranges from ₹1,20,000 to ₹1,80,000, depending on the facility and services.
2. Is Proximal Femoral Nail Fixation for Intertrochanteric Fracture surgery covered under health insurance at Medicover?
Yes, it is covered by CGHS, ESI, and major TPAs, offering cashless options. Please contact the hospital for current panel details.
3. Will I need a walker after femoral nail fixation?
Yes, using a walker is often recommended initially to support mobility. Your doctor will guide you on when to transition to walking unaided.
4. Can I climb stairs after femoral nail fixation?
Climbing stairs is usually possible a few weeks post-surgery. Follow your physiotherapist's advice to ensure safe and gradual progression.
5. Will I have metal implants in my femur permanently?
The metal nail is typically left in place unless complications arise. Your doctor will discuss removal options if necessary.
6. Can I drive after femoral nail fixation?
Driving is generally advised against until you regain full leg strength and mobility. Consult your doctor for a specific timeline based on your recovery.
7. What foods aid recovery after femoral nail fixation?
Include protein-rich foods like dal, curd, and lean meats. Calcium-rich foods like milk and leafy greens are also beneficial for bone healing.
Feeling unwell?
Book Doctor Appointment in 30 Sec
