A retrospective study on the treatment of femoral intertrochanteric fracture with Du's bone-setting manipulation reduction combined with PFNA
10.3969/j.issn.1673-9701.2025.31.003
- VernacularTitle:杜氏正骨手法复位联合PFNA治疗股骨转子间骨折的回顾性研究
- Author:
Wen XIA
1
;
Fuqing YI
;
Rui TANG
;
Liyong ZHAO
Author Information
1. 成都中医药大学临床医学院,四川成都 610075
- Publication Type:Journal Article
- Keywords:
Femoral intertrochanteric fracture;
Orthopedic manipulation;
Neck shaft angle;
Fracture healing;
Reduction
- From:
China Modern Doctor
2025;63(31):12-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of Du's bone-setting manipulation reduction combined with proximal femoral nail antirotation(PFNA)in the treatment of femoral intertrochanteric fracture.Methods A total of 79 femoral intertrochanteric fracture patients who underwent PFNA surgery in Sichuan Second Hospital of Traditional Chinese Medicine from January 2018 to December 2023 were selected.40 patients who underwent Du's bone-setting manipulation reduction combined with PFNA were included in manipulation group,and 39 patients who used a traction bed followed by PFNA were included in traction group.The operation time,intraoperative blood loss,recovery of neck-shaft angle and anteversion angle of femur,and fracture healing time of two groups of patients were compared.Results The operation time and fracture healing time of patients in manipulation group were significantly shorter than those in traction group,intraoperative blood loss was significantly less than that in traction group,and the Harris score of hip joint and the excellent and good rate of reduction were significantly higher than those in traction group(P＜0.05).There was no statistically significant difference in postoperative hospital stay,the degree of recovery of neck-shaft angle and anteversion angle of femur between two groups of patients(P＞0.05).Conclusion Du's bone-setting manipulation reduction combined with PFNA in the treatment of femoral intertrochanteric fracture has the advantages of short operation time,less intraoperative blood loss,short fracture healing time and good functional recovery of the affected limb.
