Intertrochanteric femoral fractures:a comparison between DHS and PFNA in efficacy

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 .