Effect of proximal femoral nail antirotation in treatment of unstable femoral intertrochanteric fractures in the elderly
- VernacularTitle:防旋股骨近端髓内钉治疗老年不稳定性股骨转子间骨折的疗效分析
- Author:
Hao TANG
;
Qiulin ZHANG
;
Zimin WANG
;
Baoqing YU
;
Changwei YANG
;
Fang JI
;
Qiugen WANG
;
Lei CAO
;
Guodong LI
;
Ming LI
- Publication Type:Journal Article
- Keywords:
Femoral fractures;
Fracture fixation,intramedullary;
Proximal femoral nail
- From:
Chinese Journal of Trauma
2008;24(7):520-523
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the treatment effect of proximal femoral nail antirotation (PFNA) on unstable femoral intertrochanterie fractures in the elderly. Methods A retrospective stud- y was done on 65 patients with unstable femoral intertrochanteric fractures, who were treated with PFNA from December 2005 to October 2006 and followed up for at least half a year. There were 22 males and 43 females, at age range of 67-97 (mean 78.5 years). All the operations were carried out within a week af- ter fractures. The data of operation time, operative blood loss, complications, bone healing time and hip function scores were recorded for evaluating treatment outcomes. Results All the patients were fol- lowed up for 6-18 months (average 10.5 months). The operation lasted for (29.6±7.5) minutes, with mean blood loss of (150.5±40.2) ml and bone healing time of (9.1±2.2) weeks. All patients ob- tained satisfactory treatment results, except for 3 patients with proximal thigh pain, 2 with pulmonary in- fection occurred and 1 with thrombs of lower limb vein. Harris post trauma hip function score was (88.5 ± 6.3) points. Conclusion PFNA is an effective way for femoral unstable intertrochanteric fractures in the elderly, for it is characterized by short operation time, less blood loss and stable fixation.
