Vol. 6, Issue 1, Part C (2024)

Background: Orthopedic injuries involving intertrochanteric femur fractures are frequent, particularly in older adults. After surgical fixation, femoral malrotation is a serious complication that might impact functional results. In the Deoli district of Tonk, Rajasthan, this research compares the precision of traditional and fluoroscopic techniques in assessing femoral malrotation in patients who have intertrochanteric femur fractures.
Materials and Methods: A prospective comparison of 100 individuals with intertrochanteric femur fractures was carried out. Patients were split into two groups: Group B (n=50) received fluoroscopic guidance during fixation, whereas Group A (n=50) received conventional treatment. Postoperative imaging was used to determine femoral rotation and evaluate malrotation. Results were compared based on rotation angles, operation duration, and functional outcomes measured by the Harris Hip Score three months after surgery. Data were examined statistically. 
Results: Group B had a substantially lower mean femoral malrotation of 8.4°±2.1° (p<0.05) than Group A, which had a mean of 15.6°±3.2°. The fluoroscopic group (Group B) had a somewhat longer surgical time (85±10 minutes) than the conventional group (Group A), which had a surgical time of 75±8 minutes. Group B had considerably higher Harris Hip Scores (84.2±6.5) than Group A (75.8±7.1) (p<0.05). 
Conclusion: In conclusion, the fluoroscopic approach outperformed the traditional approach in terms of accuracy in avoiding femoral malrotation. Even though fluoroscopy took a little longer to perform, its clinical importance is shown by the better functional results and less malrotation. To confirm these results across broader groups, further investigation is necessary.