Clinical effect of proximal femoral nail anti-rotation on femoral intertrochanteric fracture in the elderly

VernacularTitle:股骨近端防旋髓内钉治疗老年人股骨转子间骨折疗效分析
Author: Zhenqiang CHEN ; Guoying LIU ; Zhansheng SUN
Publication Type:Journal Article
Keywords: Femoral fractures; Fracture fixation,intramedullary
From: Chinese Journal of Geriatrics 2014;33(7):772-774
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effect of proximal femoral nail anti-rotation (PFNA) on femoral intertrochanteric fracture in the elderly.Methods Eighty-seven elderly patients from June 2007 to March 2012,who had femoral intertrochanter fracture and received treatment of PFNA,were enrolled in this study.Patients were comprised by forty seven people with stable fracture and forty people with unstable fracture.Results They were all followed up from 4.5months to 14 months,with the average time of 7.2 months.No death were found in hospital.The operation time was 25 min in average.During operation,losing blood was 80 ml.Ambulation time was 5.5 d,and the fracture healing time was 22 weeks in average.However,there were significant differences in intraoperative resetpostoperative position of the blade between the stable and unstable fracture patients (P＜0.01).Conclusions PFNA is one of the effective methods in the treatment of intertrochanter fracture,and it has shorter operation time,less losing blood,earlier ambulation,and hardly has complications.