Proximal femoral nail antirotation combined with locking plate in the treatment of femoral intertrochanteric fractures with lateral wall fractures
10.12200/j.issn.1003-0034.20230029
- VernacularTitle:股骨近端防旋髓内钉联合锁定钢板治疗合并外侧壁骨折的股骨转子间骨折
- Author:
Shuo PENG
1
;
Fei-Fei HUANG
;
Li-Wei XIA
;
Jian-Han HUANG
;
Shi-Jing MENG
Author Information
1. 广西壮族自治区江滨医院骨科,广西 南宁 530021
- Keywords:
Femoral intertrochanteric fracture;
Lateral wall;
Unstable fracture;
Locking plate;
Proximal femoral nail antirotation(PFNA)
- From:
China Journal of Orthopaedics and Traumatology
2024;37(8):796-800
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of locking plate internal fixation for the treatment of proximal lateral femoral wall fracture.Methods From January 2021 to June 2022,31 patients with intertrochanteric fractures and lateral wall fractures were treated.Among them,15 patients were treated with proximal femoral nail antirotation(PFNA)fixation including 3 males and 12 females with an average age of(75.87±7.46)years old;the other 16 patients were treated with 3.5 mm pre-curved screw locking plate fixtion for lateral wall fracture including 4 males and 12 females with an average age of(76.15±9.47)years old.After surgery,the surgical index,tip-apical distance(TAD),postoperative standing weight-bearing time,and fracture reduction were compared between two groups.Postoperative hip function was evaluated according to Harris hip score.Results All patients were followed up for an average of(12±5)months ranging from 7 to 17 months.The immediate postopera-tive neck angle ranged from 111° to 132°(119.3±8.3)°.Fracture reduction results were excellent in 11 cases,fair in 2,worse in 1 in PFNA group;excellent in 12,fair in 3,worse in 1 in PFNA+locking plate group.One case of the PFNA group had a spiral blade cut out through the femoral head.There were significant differences in the time of operation,the amount of blood loss during the operation,the length of incision between two groups(P＜0.05).There was no significant difference in TAD and post-operative standing weight-bearing time between two groups(P＞0.05).There were significant differences in Harris scores at 6 months after surgery between two groups(P＜0.05).Conclusion The application of PFNA-assisted locking plate in the treat-ment of femoral intertrochanteric fractures with lateral wall fractures is effective,and can restore the integrity of lateral wall,im-prove the stability of PFNA internal fixation,and reduce postoperative complications.
