Short-term efficacy of the proximal femoral nail antirotation systemversus intertrochanteric antegrade nail system in the treatment of femoral intertrochanteric fracture
10.3969/j.issn.2095-4344.2017.31.012
- VernacularTitle:股骨近端防旋髓内钉与联合加压交锁髓内钉治疗股骨转子间骨折的短期疗效比较
- Author:
Ning LIANG
1
;
Jun JIANG
;
bin Hai QIU
;
Porter DANIEL
;
chang Zhan WANG
Author Information
1. 清华大学第一附属医院骨科
- From:
Chinese Journal of Tissue Engineering Research
2017;21(31):4989-4994
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: Femoral intertrochanteric fracture is a common fracture type in elderly patients, and which kind of internal fixation system is better remains controversial.OBJECTIVE: To investigate the short-term efficacy of proximal femoral nail antirotation (PFNA) system versus intertrochanteric antegrade nail (InterTan) system in the treatment of femoral intertrochanteric fracture.METHODS: Forty-five patients with femoral intertrochanteric fracture were divided into PFNA (n=19) and InterTan (n=26) groups. The operation time, intraoperative blood loss hospitalization time, incidence of complications and Harris hip scores at postoperative 3 months were compared between two groups.RESULTS AND CONCLUSION: (1) Patients with PFNAs enjoyed a significantly shorter operation time at (125.8±21.5) minutes compared those with InterTans who needed (156.2±54.5) minutes (P < 0.05). (2) The intraoperative blood loss in the PFNA and InterTan groups was (226.3±107.2) mL and (300.0±150.3) mL, respectively, but the difference was not significant (P > 0.05). (3) No significant difference was identified in the hospitalization time, incidence of complications and Harris hip scores at postoperative 3 months between two groups (P > 0.05). (5) Our findings indicate that except for short operation time in PFNA system, there are no significant differences in the intraoperative blood loss, hospitalization time, incidence of complications and Harris hip scores at postoperative 3 months between two internal fixation systems,and both possess good safety and efficacy in postoperative short period.
