Authors : Dr. Ahmad Jahad Payman; Dr. Habibullah Momand

Volume/Issue : Volume 10 - 2025, Issue 4 - April

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DOI : https://doi.org/10.38124/ijisrt/25apr775

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Abstract : Subtrochanteric fractures are among the common orthopedic injuries in adults and the elderly, and due to the unique biomechanical characteristics of this region, their treatment is challenging. This study aims to assess the prevalence, demographic characteristics, and treatment success of this type of fracture using the Nail SIGN method at the Abulali Sina Provincial Teaching Hospital in 2024. This is a Descriptive Retrospective study using a Case Series method, conducted on 150 patients with closed Subtrochanteric fractures who were admitted and underwent surgery at this hospital during 2024. Consecutive sampling was used, and data were extracted by reviewing patients' files. Data analysis was performed using SPSS software, and the results are presented in the form of tables and graphs. The findings revealed that the incidence of closed Subtrochanteric fractures in the orthopedic department of the hospital was 1.5%, which aligns with similar studies in Bangladesh (1.8%), Zimbabwe (1.9%), and Tanzania (3.2%). The highest incidence was observed in individuals aged 5 to 30 years (34.2%), which is consistent with studies in Bangladesh and Zimbabwe. The majority of patients were male (92.3%), and only 7.7% were female. The largest number of patients were from Mazar-i-Sharif (45.3%). Additionally, in 60% of cases, the Nail SIGN method was used, which has partial consistency with studies in Bangladesh (93.55%) and Tanzania (52%). Based on the results, the Nail SIGN method for treating closed Subtrochanteric fractures is considered reliable and effective. This method not only demonstrates a high success rate but also reports minimal complication rates. Further studies with a larger sample size are recommended to confirm these findings.

Keywords : Subtrochanteric Fracture, Nail SIGN, Case Series Method, Orthopedics, Abulali Sina Teaching Hospital, Internal Fixation, Orthopedic Surgery, Demographic Analysis of Patients.

References :

1. A.Hamish.R.W.Simpson, David.L.Hamblen, John Adams. (2007). Adams's Outline of Fractures: Including Joint Injuries. (12^th edi) p:247
2. Diab MM, Wu HH, Eliezer E, Haonga B, Morshed S, Shearer DW. The impact of antegrade intramedullary nailing start site using the SIGN nail in proximal femoral fractures: A prospective cohort study. Injury Journal. 2018 Feb;49(2):323-327.
3. Frederick M. Azar, James H. Beaty, S. Terry Canale . (2017). Campbell’s Operative Orthopaedics (13th ed.),  P:2842, 2845, 2846, 2799, 2796, 2798
4. Haonga BT, Zirkle LG. The SIGN Nail: Factors in a Successful Device for Low-Resource Settings. J Orthop Trauma. 2015 Oct;29 Suppl 10:S37-9. doi: 10.1097/BOT.0000000000000411. PMID: 26356214.
5. Kenneth A. Egol, Kenneth J. Koval, Joseph D. Zuckerman .(2015). Handbook of fractures.(5^th ed). P:366, 368, 369. 373, 375, 376, 378.
6. Mehrpoor, Saeedreza, Tavafi, Mohammadreza, Sarabi, Reza, and Aghamirsalim, Mohammadreza. (2012). "Study of the Biological Plating Technique in Comminuted Subtrochanteric Femoral Fractures." Journal of the Medical Faculty, 70(2), 104-109.
7. Meibodi Dr. Mohamad Kalanlari Orthopedic & Trauma Emergencies year 2015.
8. P. Adam. (2014). Treatment of recent trochanteric fracture in adults, orthopaedics & Traumatology: Surgery% Reseach 11, P 575-583.
9. S.A Sadatian MD M.N Tahmasebi MD S.M Abdollahzadeh MD A.R Soroush MD 2007.
10. Sibindi C, Mushambwe T, Mageza A, Socci A. Population characteristics, outcomes, and centerwide insights of the Zimbabwe national experience with the SIGN intramedullary nail (2013-2020). Int Orthop. 2022 Jan;46(1):89-96. doi: 10.1007/s00264-021-05167-2. Epub 2021 Aug 23. PMID: 34424393.
11. Sonaullah M, Sabur MA, Sajib WH, Faruquee SR, Kabir S, Minto MR, Mohiuddin AM, Ali MA, Nandi B, Nahar N. Result of Subtrochanteric Femoral Fracture Fixation by Intramedullary Interlocking Surgical Implant Generation Network (SIGN) Nail. Mymensingh Med J. 2022 Apr;31(2):304-311. PMID: 35383742.
12. William M. Ricci & Robert F. Ostrum,. (2016). Orthopaedic Knowledge Update: Trauma 5. P:476, 478, 479 .  American Academy of Orthopaedic Surgeons.
13. Zeelenberg, M. L., Van Lieshout, E. M. M., Polinder, S., Panneman, M. J. M., Verhofstad, M. H. J., & Den Hartog, D. (2024). Trends in incidence, health care use and costs for subtrochanteric femur fractures in the Netherlands 2000-2019. Injury, 55(4), 111461. https://doi.org/10.1016/j.injury.2024.111461