The application of proximal femoral intramedullary nail with anti-rotation in old patients with intertrochanteric fractures

VernacularTitle:股骨近端抗旋转髓内钉在老年人股骨粗隆间骨折治疗中的应用
Author: Zhenhong ZHU
Publication Type:Journal Article
Keywords: Bone nails; Fracture fixation,intramedullary; Femoral fractures; Aged
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(17):2613-2615
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of proximal femoral intramedullary nail with anti-rotation (PFNA) in old patients with intertrochanteric fractures.Methods 82 patients with proximal femoral fractures were randomly divided into the control group(41 cases) and the observation group(41 cases).The patients in the control group were operated through DHS steel plate,while the patients in the observation group were operated through PFNA.After followed-up for six months,the function of hip joint and quality of life (QOL) of patients were compared between two groups.Results There wasn't any serious complications in two groups.The excellent and good rate was 90.2％ in the observation group and 75.6％ in the control group,there was significant difference between the two groups (x2 =4.100,P ＜ 0.05).The QOL after operation was increased in two groups,and the QOL in the observation group was higher than that in the control group(t =4.752,P ＜ 0.01).Conclusion The proximal femoral intramedullary nail with anti-rotation in treatment of old patients with intertrochanteric fractures can not only raise surgical treatment,but also improve QOL.