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International Patient CareProximal Femoral Nail Surgery Hospital with Expert Orthopedics
At Medicover Hospitals, our orthopedicspecialists, holding MS and DNB qualifications, perform the Proximal Femoral Nail procedure using open surgical techniques. This approach is effective for treating hip fractures, often resulting in shorter hospital stays and quicker recovery for patients across India.
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What is Proximal Femoral Nail?
A Proximal Femoral Nail (PFN) is a metal rod used in orthopedicsurgery. It stabilises fractures in the upper part of the thigh bone (femur). The nail is inserted into the bone's canal to hold the broken pieces together. This helps in proper alignment and healing of the bone.
This surgery is needed for fractures in the femur, often due to falls or accidents. If untreated, these fractures can lead to severe pain and mobility issues. Modern surgical approaches for PFN include minimally invasive techniques. These methods aim to reduce recovery time and improve outcomes. Early treatment is crucial to prevent complications like non-union or malalignment of the bone.
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Complete Guide To Proximal Femoral Nail
Everything you need to know about the procedure, preparation, and recovery
Proximal Femoral Nail Surgery Indications
Doctors recommend Proximal Femoral Nail surgery when patients experience severe hip or thigh issues that do not improve with non-surgical treatments. This procedure stabilises fractures and aids in proper healing.
Intertrochanteric Fractures
Patients often experience intense pain in the hip region, making it difficult to bear weight. X-rays reveal a fracture between the greater and lesser trochanter. When pain persists despite rest and medication, surgery is advised.
Subtrochanteric Fractures
Severe pain and swelling in the upper thigh are common symptoms. Imaging shows a fracture below the lesser trochanter. If immobilisation and physiotherapy do not alleviate symptoms, surgical intervention is necessary.
Pathological Fractures
Patients may report sudden pain without trauma, often due to weakened bones from conditions like osteoporosis. Scans reveal fractures with abnormal bone density. Surgery is considered when conservative treatments fail to prevent further fractures.
Failed Internal Fixation
Patients with previous hip surgeries might experience persistent pain and instability. X-rays show improper healing or hardware failure. When revision surgery is needed, Proximal Femoral Nail can offer a solution.
Non-union of Femoral Neck Fractures
Chronic pain and limited mobility are signs of non-union. Imaging shows a lack of healing at the fracture site. When bone healing does not occur with conservative methods, surgical fixation is recommended.
How to Prepare for Proximal Femoral Nail?
Proper preparation is crucial for a successful Proximal Femoral Nail surgery. It helps minimise risks and ensures a smooth recovery process.
- Medication Review: Inform your doctor about all medications. Stop NSAIDs, anticoagulants, and herbal supplements as advised.
- Fasting Guidelines: Follow the fasting instructions. Typically, avoid food and drink for at least 8 hours before surgery.
- Pre-Surgery Tests: Complete all required blood tests, X-rays, or other imaging tests as scheduled.
- Clothing: Wear loose, comfortable clothing on the day of surgery for ease of movement post-operation.
- Transport Arrangement: Arrange for someone to drive you home after the procedure, as you won't be able to drive yourself.
- Medication List: Bring a list of your current medications, including dosages, to the hospital.
- Home Preparation: Prepare your home for post-surgery recovery. Ensure easy access to essentials and a comfortable resting area.
- Pre-Surgery Hygiene: Follow any specific hygiene instructions given by your healthcare provider, such as showering with a special soap.
Proximal Femoral Nail Surgery (Step-by-Step)
Overview: Proximal Femoral Nail surgery is performed by orthopedicsurgeons. The procedure typically lasts 1-2 hours. It is usually done under regional or general anaesthesia.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort. The surgical area is cleaned and sterilised.
- Incision: A small incision, about 2-3 cm, is made near the hip. This allows access to the femur.
- Guide Wire Insertion: A guide wire is inserted into the femur. This helps in aligning the nail correctly.
- Reaming: The femoral canal is reamed using a reamer. This creates space for the nail.
- Nail Insertion: The proximal femoral nail is inserted over the guide wire. Instruments like the trocar and reamer are used. The nail stabilises the fracture.
- Screw Fixation: Screws are inserted through the nail. This secures the nail in place and stabilises the bone.
- Closure: The incision is closed with sutures or staples. A dressing is applied. The patient is moved to recovery.
Who Performs Proximal Femoral Nail Surgery?
Orthopedic surgeons perform Proximal Femoral Nail surgery. They specialise in diagnosing and treating musculoskeletal issues. Their expertise ensures the procedure is done safely and effectively.
Recovery After Proximal Femoral Nail Surgery
Recovery from Proximal Femoral Nail Surgery involves gradual healing and rehabilitation. Patients can expect a structured recovery plan that includes rest, physical therapy, and dietary adjustments to support bone healing.
Day 1-3:
- Hospital stay for monitoring and pain management.
- Begin gentle physiotherapy to prevent stiffness.
- Diet: Soft foods like curd, dal-rice, and soups to ensure easy digestion.
Day 4-7:
- Gradual increase in mobility with the help of a walker or crutches.
- Continue physiotherapy exercises as advised.
- Include protein-rich foods like moong dal and khichdi to aid recovery.
Week 2-4:
- Increased weight-bearing activities as tolerated.
- Regular follow-ups with the doctor to monitor progress.
- Balanced diet with adequate calcium and vitamin D intake.
Month 1-3:
- Resume light activities and possibly return to work/school, depending on recovery.
- Continue physiotherapy to regain strength and flexibility.
- Maintain a nutritious diet to support bone health.
When to Seek Urgent Help
- Severe pain or swelling in the operated leg.
- Fever or signs of infection at the surgical site.
- Inability to move the leg or bear weight.
- Sudden shortness of breath or chest pain.
Benefits of Proximal Femoral Nail Surgery
Proximal Femoral Nail (PFN) surgery is a common procedure for stabilising fractures in the upper part of the femur. It offers several advantages:
- Stability: Provides strong internal fixation for femoral fractures.
- Early Mobilisation: Allows patients to start moving sooner, aiding in quicker recovery.
- Reduced Pain: Helps in significantly reducing pain post-surgery.
- Minimally Invasive: Involves smaller incisions, leading to less tissue damage.
- Lower Infection Risk: Smaller incisions may reduce the risk of infection.
Risks and Complications of Proximal Femoral Nail Surgery
While PFN surgery is generally safe, it carries certain risks and complications:
- Common: Infection at the surgical site can occur, requiring further treatment.
- Common: Blood clots may form, necessitating preventive measures.
- Rare: Nerve or blood vessel damage might happen during the procedure.
- Rare: Implant failure or breakage could require additional surgery.
- Rare: Non-union or delayed healing of the fracture may occur.
- Rare: Allergic reactions to materials used in the implant.
Cost of Proximal Femoral Nail Surgery
The cost of Proximal Femoral Nail Surgery at Medicover Hospitals varies between Rs.12,299 and Rs.39,589, depending on the ward category chosen. Prices are transparent, and we offer support for insurance and TPA, including CGHS, ESI, and major TPAs. A cashless facility is also available for your convenience. 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 surgery cost at Medicover Hospitals?
The cost of Proximal Femoral Nail surgery at Medicover Hospitals ranges from Rs. 12,299 to Rs. 39,589, depending on the type of accommodation chosen.
2. Is Proximal Femoral Nail surgery covered under health insurance at Medicover?
Proximal Femoral Nail surgery is often covered by CGHS, ESI, and major TPAs, with cashless options available. Please contact the hospital for current panel details.
3. Will I need physiotherapy after Proximal Femoral Nail?
Yes, physiotherapy is essential after Proximal Femoral Nail surgery to regain mobility and strength in the hip joint.
4. Can I climb stairs after Proximal Femoral Nail?
Climbing stairs should be avoided initially after surgery. Gradual resumption is advised, typically after consulting your doctor or physiotherapist.
5. How soon can I walk after Proximal Femoral Nail?
Walking with support is usually encouraged within a few days post-surgery. Full weight-bearing might take several weeks, depending on recovery progress.
6. Will I have hip pain after Proximal Femoral Nail?
Some hip pain is common after surgery, but it should decrease over time with proper rehabilitation and care.
7. Can I sit cross-legged after Proximal Femoral Nail?
Sitting cross-legged is generally discouraged post-surgery to avoid stress on the hip joint. Consult your doctor for personalized advice.
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