Experience of proximal femoral nail anti rotation intramedullary nail (PFNA)in the treatment of intertro-chanteric osteoporotic fracture in elderly patients

VernacularTitle:股骨近端防旋髓内钉治疗老年股骨粗隆间骨质疏松性骨折的疗效观察
Author: Xiaowei GAO ; Meiling WANG ; Shouyou LIU ; Chunjiang LI ; Xiguo ZHENG
Publication Type:Journal Article
Keywords: Proximal femoral nail anti rotation intramedullary nail (PFNA); Elderly; Intertrochanteric fracture; Osteoporosis
From: Chinese Journal of Primary Medicine and Pharmacy 2016;23(15):2366-2368,2369
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effect of proximal femoral nail anti rotation intramedullary nail (PFNA)in the treatment of intertrochanteric osteoporotic fractures in elderly patients.Methods 42 cases of femoral intertrochanteric fracture were treated with proximal femoral nail anti rotation intramedullary nail (PFNA)in cases (AO type,A1 type 13 cases,A2 type 24 cases,type A3 5 cases).Results The group of 42 patients after 12 -36 months of follow -up,the average follow -up time of 18 months,all the patients were healed,1 case of deep venous thrombosis,1 case of mild coxa vara.According to the Harris evaluation standard:excellent 32 cases,good in 9 cases,fair in 1 case,the excellent rate was 97.6%.Conclusion The proximal femoral nail anti rotation (PFNA) anti tensile,anti sliding and anti rotation function is good,and has the advantages of simple operation,small trauma,for osteoporotic intertrochanteric fracture patients can be applied.