Treatment of intertrochanteric fractures with proximal femur nail antirotation

VernacularTitle:股骨近端抗旋髓内钉在股骨转子周围骨折中的应用
Author: Genfu ZHANG ; Zhengming WANG ; Feng BAO ; Zhen LAI ; Ruping WU ; Bicheng DING
Publication Type:Journal Article
Keywords: Femur; Hip fractures; Fracture fixation,internal; Proximal femur nail antirotation
From: Chinese Journal of Trauma 2010;26(8):709-712
CountryChina
Language:Chinese
Abstract: Objective To summarize the experiences in treatment of intertochanteric fractures with proximal femur nail antirotation (PFNA). Methods A retrospective study was done on 136 patients with intertrochanteric fractures treated with PFNA from March 2006 to September 2008. Postoperative reduction quality, long-term radiographic results and function of hip were evaluated separately. All the patients had closed fractures. The operation involved orthopedic traction bed, C-arm image intensifier,closed reduction or limited open reduction and locking technique. Results All patients were followed up for 10-18 months (average 14.5 months), which showed fracture healing in all patients. According to Harris criterion, the function of the hip joint obtained excellence in 129 patients ( 94.9% ). Conclusion PFNA has advantages of simple procedure, minimal invasion, firm fixation and early functional exercises and is an effective method for treatment of intertrochanteric fractures.