International Journal of Research in Orthopaedics | March-April 2021 | Vol 7 | Issue 2 Page 248 International Journal of Research in Orthopaedics Singh SK et al. Int J Res Orthop. 2021 Mar;7(2):248-251 http://www.ijoro.org Original Research Article Study of the peri-operative mortality in trochanteric fractures in elderly patients (60 years and above) visiting department of orthopedics at Dr. RPGMC Tanda Sarvesh Kumar Singh, Bhanu Awasthi, Devinder Kumar, Sunil Rana, Atul Singh, Sunny Dua* INTRODUCTION Trochanteric fractures are one of the commonest fractures seen in elderly people. 1,2 With the increase in life expectancy, these fractures are more common in our practice today. 3 These elderly people have many associated co-morbid conditions like hypertension, poor cardio-pulmonary reserve and the quality of life of these patients will be poor until they are mobilizing elderly. However, with the increase in motor vehicle accidents or occupations like climbing on trees or hillocks in the rural set up, trochanteric fractures are also being seen with increased frequency in younger where these injuries are following a high velocity trauma resulting in unstable fracture pattern, these younger group of patients also require stabilization of these fractures, so that, they can be mobilized early to avoid the complications associated with prolonged recumbency like deep vein thrombosis (DVT), pulmonary oedema etc. Quality of life becomes poor unless stabilized and mobilized early and hence many fixation devices were developed. With the aim of mobilizing these patients early ABSTRACT Background: Trochanteric fractures are one of the commonest fractures seen in elderly people. We conducted a study association between socio-demographic profile and difficulties encountered during fixation of trochanteric fractures with proximal femoral nailing (PFN) operated in the department of orthopedics at Dr RPGMC Kangra at Tanda. Methods: This study was conducted on patients presenting to the department of orthopedics at Dr RPGMC Tanda with trochanteric fractures and fulfilling the criteria and studied for a period of one year starting from the date of study. The patients were clinically evaluated at the time of admission. Demographic data of the patients such as age, sex, pre- operative mobility status, pre-existing co-morbidities, type of fracture/fracture classification, degree of osteoporosis (measured by Singh’s index) were noted. Results: Comparison of age of the patients in which difficulties encountered was comparable to the patients in which no difficulties encountered (p=0.562) 57% (n=33/58) of the patients in which no difficulties encountered were males. Sex-based distribution was not found to be statistically significant (p=0.480). 93% (n=54/58) of the patients in which no difficulties encountered belonged to rural areas. Residence-based distribution was not found to be statistically significant (p=0.506). Conclusions: In this study, we observed that technical difficulty in PFN can arise in any patient irrespective of their age, sex and socioeconomic status. Keywords: Age, Sex, PFN, Difficulty Department of Orthopedics, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India Received: 27 January 2021 Revised: 09 February 2021 Accepted: 16 February 2021 *Correspondence: Dr. Sunny Dua, E-mail: sunydua64@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20210539