~ 980 ~ International Journal of Orthopaedics Sciences 2017; 3(3): 980-985 ISSN: 2395-1958 IJOS 2017; 3(3): 980-985 © 2017 IJOS www.orthopaper.com Received: 13-05-2017 Accepted: 14-06-2017 Pranav Kothiyal Senior Resident, Department of Orthopaedics, SGRRIMHS, Dehradun, Uttarakhand India Kunal Vij Assistant Professor, Department of Orthopaedics, SGRRIMHS, Dehradun, Uttarakhand India Puneet Gupta Professor and Head, Department of Orthopaedics, SGRRIMHS Dehradun, Uttarakhand India Pawan Rawat Assistant Professor, Department of Orthopaedics, SGRRIMHS, Dehradun, Uttarakhand India Nitin Sharma Senior Resident, Department of Orthopaedics, SGRRIMHS, Dehradun, Uttarakhand India Correspondence Kunal Vij Assistant Professor, Department of Orthopaedics, SGRRIMHS, Dehradun, Uttarakhand India Functional evaluation of proximal femoral fractures managed with cephalomedullary nailing by oxford hip score - A prospective study Pranav Kothiyal, Kunal Vij, Puneet Gupta, Pawan Rawat and Nitin Sharma DOI: https://doi.org/10.22271/ortho.2017.v3.i3n.143 Abstract Fixation of proximal femoral fractures by cephalomedullary nailing has become very popular due to the superior biomechanics and prevention of various complications associated with sliding hip screw. Material and Methods: In this study we followed 94 patients admitted and managed in the Department of orthopaedics at SGRRIMHS Dehradun. the followup period was of one year duration during which the functional status of patients was assessed by Oxford hip score at regular intervals. Results: All the patients had uneventful post-op recovery. The pain swas quite severe in 70% of the patients at 1 month but by end of 12 months 76% of patients had very mild or no hip pain. No significant difference in hip score was seen in patients managed by long nails and short nails. for the first 3 followups at 1, 3 and 6 months no significant difference between scores of hips managed by open and closed reduction was seen however at 12 months the score of hips managed by open reduction was lower. All the fractures were united at the end of 1 year. Conclusion: Although cephalomedullary nailingg in proximal femoral fractures is a bit technically demanding it has the advantage of providing rotational as well as axial stability and excellent clinical results allowing a faster post-operative restoration of walking ability, with overall better outcome. Keywords: Cephalomedullary nailing, Oxford hip score Introduction Aim and objectives For evaluation of the results of proximal femur fracture in patients using cephalomedullary nail in adult patient admitted in the Department of Orthopaedics at SGRRIMHS, Dehradun with following objectives – 1. To evaluate the functional outcome of cephalomedullary nail in proximal femoral fracture using oxford hip score. 2. For assessing the complication associated with this method of internal fixation in these fractures. 3. To evaluate the reliability and safety of cephalomedullary nail in proximal femoral fracture. Materials and methods Study included 94 cases which were managed by use of different implants (cephalomedullary nail) and was randomized irrespective of fracture types and pattern. The study was done over a period of 12 months (with 1 month, 3 month, 6 month, 12 month follow up. At every visit patient was assessed as per Oxford Hip Score. The Inclusion Criteria was all the patients with Proximal Femoral Fractures, with or without multiple co-morbidities but declared fit as per the pre anaesthetic check-up. Medically unfit patients or unwilling patients or those having femoral neck fractures were excluded from the study.