Short term efficacy of SuperCAP approach artificial femoral head replacement and PFNA internal fixation in the treatment of intertrochanteric fractures in patients with osteoporosis
10.3760/cma.j.cn431274-20230607-00823
- VernacularTitle:SuperCAP入路人工股骨头置换术与PFNA内固定术治疗骨质疏松患者股骨转子间骨折的近期疗效
- Author:
Chunhua YANG
1
;
Xiaoming LI
;
Xiao XIAO
;
Jiawei HU
;
Jiang PENG
;
Chun LIU
;
Hui CAO
Author Information
1. 长沙市第一医院骨科，长沙 410000
- Keywords:
Osteoporosis;
Intertrochanteric femoral fractures;
Femoral head replacement;
Fracture fixation, intramedullary
- From:
Journal of Chinese Physician
2023;25(9):1345-1348,1354
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the short-term clinical efficacy of SuperCAP artificial femoral head replacement and proximal femoral anti rotation intramedullary nail (PFNA) internal fixation in the treatment of intertrochanteric fractures in patients with osteoporosis.Methods:A retrospective analysis was conducted on the clinical data of patients with osteoporosis and intertrochanteric fractures admitted to the Orthopedic Department of Changsha First Hospital from January 2017 to January 2020. The patients underwent SuperCAP artificial femoral head replacement or PFNA internal fixation surgery. According to the inclusion and exclusion criteria, a total of 32 cases were included in the SuperCAP group and 46 cases in the PFNA group. We compared the age, gender, fracture classification, bone density, American Society of Anesthesiologists (ASA) score, surgical time, postoperative weight bearing time, intraoperative bleeding volume, incidence of perioperative complications, and Oxford Hip Score (OHS) between two groups of patients.Results:There was no statistically significant difference in age, gender, fracture classification, bone density, ASA score, surgical time, intraoperative bleeding, and the OHS at 6 months and 1 year after surgery between the two groups of patients (all P>0.05). The SuperCAP group had better postoperative weight bearing time, incidence of perioperative complications, and OHS at 1 week, 1 month, and 3 months compared to the PFNA group (all P<0.05). Conclusions:SuperCAP minimally invasive approach for the treatment of osteoporotic femoral intertrochanteric fractures can achieve the same effect as PFNA internal fixation, and the short-term effect of SuperCAP artificial femoral head replacement is better than PFNA internal fixation.
