Efficacy of PFNA and Gamma nail in treatment of intertrochanteric fractures in elderly

VernacularTitle:PFNA与Gamma钉治疗老年股骨转子间骨折的疗效比较
Author: Hong DING ; Yingying HE ; Yan CHEN
Publication Type:Journal Article
Keywords: intertrochanteric fracture; elderly; proximal femoral nail anti-rotation; Gamma nail; surgical complication
From: Journal of Regional Anatomy and Operative Surgery 2014;(3):272-274
CountryChina
Language:Chinese
Abstract: Objective to observe the efficacy and application value of PFNA and Gamma in the treatment of intertrochanteric fractures in elderly. Methods 100 patients with intertrochanteric fractures were divided into PFNA group and Gamma group, who received PFNA treatment and Gamma treatment respectively. And the operation status of patients at different ages,postoperative recovery,and complications were observed. Results The operation time,intraoperatve blood soss of PFNA group were lower than those of Gamma group(P<0. 05). There was no significant difference in fracture healing time. The Harris score of the over 75s in PFNA group was higher than that in Gamma group(P<0. 05),and the complications were less than Gamma group(P<0. 05). Conclusion PFNA was suitable for the patients at differ-ent ages with the advantages of more rigid fixation,good anti-rotation,fewer trauma and fewer complications.