Objective To compare the efficacy of proximal femoral nail antirotation (PFNA) and internal fixation with locking plate in the treatment of elderly patients with femoral intertrochanteric fracture.
Methods Totally 90 elderly patients with femoral intertrochanteric fracture were randomly divided into two groups. Patients in the PFNA group received PFNA, and patients in locking plate group were treated with internal fixation of locking plate. Perioperative indicators, complications, the Harris score and long-term prognosis were compared between the two groups.
Results The operation time, length of incision, intra-operative blood loss, postoperative drainage volume, time to walking and fracture healing time in the PFNA group were significantly better than those in the locking plate group (P < 0.05 or P < 0.01). The total score of Harris, physical function, physical pain and overall health score at final follow up in the PFNA group were significantly higher than those in locking plate group (P < 0.01). The total incidence rate of complications in the PFNA group was significantly lower than that in the locking plate group (P < 0.05).
Conclusion PFNA has less trauma, faster recovery speed and fewer complications when compared with internal fixation with locking plate.
DownLoad: