Vol. 7, Issue 1, Part A (2025)

Background: A rising healthcare issue nowadays is trochanteric and subtrochanteric fracture. The anatomical structure makes the site difficult to heal from injury in a short period. Close reduction surgery with PFN A2 is a promising treatment method for surgeons to deal with this problem.
Objectives: The primary objective of this study is to find out the short-term functional and radiological outcome of Trochanteric and Subtrochanteric Fractures Treated with Closed Reduction Using PFN A2 in a tertiary in Bangladeshi settings.
Methodology: A prospective observational study took place at the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) within two years. 50 patients were enrolled and underwent the surgical procedure with pre-determined inclusion and exclusion criteria. Hand-written CRF, MS Excel, and SPSS version 20.0 are used as data collection and data analysis tools for this study.
Results: Patients with 1.5:1 ratios of male and female have been included in this study, 60-75 years patients came with complaints of Trochanteric and Subtrochanteric Fractures mostly (43.33%); the mean age for the patient was 70.79±3.88 years. Trochanteric fractures are most common among patients (87%). Mean Harries Hip Score shows a potential functional outcome with 40% excellent and 46.67% good interpretations. The radiological image also shows an acceptable insight into the good fitting of PFN A2 in the fractured area with limited complications of hip joint stiffness (3.33%), and infections (13.33%).
Conclusion: The short-term functional outcome of close reduction surgery with PFN A2 concludes with promising outcomes in terms of radiological features and patient improvement in a tertiary care center in Bangladesh.