The clinical effects of PFNa in the treatment of femoral intertrochanteric fractures

VernacularTitle:防旋型股骨近端髓内钉内固定治疗股骨粗隆间骨折临床观察
Author: Yuanqiao HUANG ; Huagui MO ; Liping WU ; Yu ZHANG ; Baofeng LI ; Yuanzhuang CHEN ; Gunshao MA ; Yujun LI ; Xueshi LI
Publication Type:Journal Article
Keywords: Femoral factures; Fracture fixation,intramedullary
From: Chinese Journal of Primary Medicine and Pharmacy 2012;19(13):1923-1924
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of the proximal femoral nail antirotation(PFNa) for the treatment of femoral intertrochanteric fracture.Methods 272 consecutive patients with femoral intertrochanteric fracture were treated with PFNa.Results The mean operative time was 55min(range 35 ～95)min.The mean blood loss was 85ml (range:20 ～200)ml.The mean follow-up was 15.6months( range:6 ～36)monthsand achieved bone healing with an average time of 14.5weeks.According to the Harris criterion for evaluation.Conclusion PFNa was more comfortable for human's biomechanism and more favorable for the healing of the fracture as well as the recovery of the hip function.It had the advantage of simple manipulation,fewer trauma,strong fixation,anti-rotation,less osclerotin.PFNa was an ideal treatment for intertrochanteric fracture,specially the unstable intertrochanteric fracture and senile osteoporosis.