Clinical and Radiologic Outcome of Intertrochanteric Fracture Treatment Using TFNA (Trochanteric Fixation Nail-Advanced)
10.12671/jkfs.2021.34.3.105
- Author:
Hyeon Joon LEE
;
Hyun Bai CHOI
;
Ba Rom KIM
;
Seung Hwan JO
;
Sang Hong LEE
- Publication Type:ORIGINAL ARTICLE
- From:Journal of the Korean Fracture Society
2021;34(3):105-111
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study evaluated the clinical and radiological outcomes of TFNA (Trochanteric Fixation NailAdvanced; Depuy Synthes) for the treatment of proximal femur fractures.
Materials and Methods:This was a retrospective study of 64 patients diagnosed with a proximal femur fracture from January 2019 to November 2019. The patient’s demographic data, preoperatively and postoperatively Koval grade, modified Harris hip score, EQ-5D (Euro-Qol-5 Dimension), sliding and advancement of the blade, radiologic outcome, and complications were investigated.
Results:Fifty patients were available for evaluation at one year postoperatively. The patients reported the following: the Koval grade decreased after surgery; the modified Harris hip score decreased from 78.56±8.88 to 72.74±6.59 (p=0.149); the mean EQ-5D decreased from 0.75±0.09 to 0.72±0.06 (p=0.000). Satisfactory reduction was achieved on a postoperative radiographic examination in 47 patients in six months. Complications occurred in seven cases.
Conclusion:TFNA is considered an appropriate implant for treating intertrochanteric fractures of the femur with a minimum follow-up of one year.
