Comparison of proximal femoral bionic nail and proximal femoral nail anti-rotation in fixation of intertrochanteric fractures of the femur in the aged patients
10.3760/cma.j.cn115530-20240205-00058
- VernacularTitle:股骨近端仿生髓内钉与股骨近端防旋髓内钉固定治疗老年股骨转子间骨折的效果比较
- Author:
Yan ZHANG
1
;
Yichong ZHANG
;
Dianying ZHANG
Author Information
1. 北京大学人民医院创伤骨科，国家创伤医学中心，创伤救治与神经再生教育部重点实验室，北京 100044
- Keywords:
Hip fractures;
Fracture fixation, intramedullary;
Bone nails;
Postoperative complications;
Proximal femoral bionic nail
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(6):487-492
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effectiveness between proximal femoral bionic nail (PFBN) and proximal femoral nail antirotation (PFNA) in the fixation of osteoporotic intertrochanteric fractures of the femur in the aged patients.Methods:A retrospective analysis was conducted of the data of 83 aged patients with intertrochanteric fracture of the femur who had been admitted to Department of Orthopaedics and Traumatology, Peking University People's Hospital from December 2020 to June 2022. The patients were divided into 2 groups based on their methods of internal fixation. In the PFBN group of 40 cases, there were 15 males and 25 females aged (81.4±9.1) years, and 27 cases of type 31-A2 and 13 cases of type 31-A3; in the PFNA group of 43 cases, there were 16 males and 27 females aged (80.2± 11.6) years, and 30 cases of type 31-A2 and 13 cases of type 31-A3. The 2 groups were compared in terms of surgical time, intraoperative blood loss, length of hospital stay, incidence of complications, and visual analogue scale (VAS), activity of daily living (ADL), and Harris hip score at 18 months after surgery.Results:The differences in preoperative general data between the 2 groups were not statistically significant, indicating comparability ( P>0.05). There was no statistically significant difference between the 2 groups in surgical time, intraoperative blood loss, hospital stay, or VAS pain score at 18 months after surgery ( P>0.05). The Harris hip score [(78.1±6.9) points] and ADL score [(69.0±15.0) points] at 18 months after surgery in the PFBN group were significantly higher than those in the PFNA group [(75.0±10.2) points and (61.8±14.9) points] ( P<0.05). The incidence of postoperative complications in the PFBN group was 5.0% (2/40), insignificantly lower than that in the PFNA group (14.0%, 6/43) ( P>0.05). Conclusions:Both PFBN and PFNA can achieve good therapeutic effects in the fixation of osteoporotic intertrochanteric fractures of the femur in the age patients. Compared with PFNA fixation, patients undergoing PFBN fixation may have better functional recovery of the hip joint and higher life quality.
