Intertrochanteric femoral fractures:a comparison between DHS and PFNA in efficacy
10.7644/j.issn.1674-9960.2014.01.018
- VernacularTitle:老年股骨粗隆间骨折的手术治疗：应用DHS与PFNA的疗效比较
- Author:
Bo QU
;
Honghua WU
;
Shaolin DENG
;
Ling FAN
;
Kai JIANG
;
Xianming PAN
- Publication Type:Journal Article
- Keywords:
intertrochanteric fracture;
dynamic hip screw;
proximal femoral nail antirotation;
fracture fixation,inter-nal;
fracture fixation,intramedullary
- From:Military Medical Sciences
2014;(1):67-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare DHS(dynamic hip screw )with PFNA(proximal femoral nail antirotation) treatment for intertrochanteric fractures and to analyze their postoperative complications .Methods A total of 107 patients with inter-trochanteric fractures were treated with DHS and PFNA fixation respectively .The type of fracture , postoperative complica-tions and overall efficacy were compared .Results After the follow-up of 28(24 to 36) months.DHS group had a higher overall incidence of postoperative complications than the PFNA group and the difference was statistically significant ( P<0.05).Conclusion In order to reduce the intertrochanteric fracture fixation complications , the type of fracture, osteoporo-sis and biomechanical fixation characteristics need to be considered when selecting surgical procedures .Postoperative func-tional rehabilitation is to be improved .The curative effect of PFNA is better than that of DHS .
