Effect of internal fixation with proximal femoral nail antirotation in treatment of elderly patients with femoral intertrochanteric fracture

HUANG Yejian; TAO Minggao; YAN Shixian; GENG Yuqiang

doi:10.7619/jcmp.20214312

Journal of Clinical Medicine in Practice > 2022 > 26(4): 64-67. > DOI: 10.7619/jcmp.20214312

HUANG Yejian, TAO Minggao, YAN Shixian, GENG Yuqiang. Effect of internal fixation with proximal femoral nail antirotation in treatment of elderly patients with femoral intertrochanteric fracture[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 64-67. DOI: 10.7619/jcmp.20214312

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Effect of internal fixation with proximal femoral nail antirotation in treatment of elderly patients with femoral intertrochanteric fracture

Department of Spine and Traumatic Orthopedics, Lianyungang City Oriental Hospital in Jiangsu Province, Lianyungang, Jiangsu, 222042

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Received Date: November 01, 2021
Available Online: March 21, 2022
Published Date: February 27, 2022

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Abstract

Abstract

Objective To observe the effect of internal fixation with proximal femoral nail antirotation (PFNA) in the treatment of elderly patients with femoral intertrochanteric fracture.
Methods A total of 134 patients with femoral intertrochanteric fracture were selected and randomly divided into observation group (66 cases, treated with internal fixation with PFNA) and control group [68 cases, treated with proximal femoral locking plate (PFLP)]. The perioperative indexes, score of joint function (Harris score), score of activities of daily living (ADL), rehabilitation indexes and complications were compared between the two groups.
Results The perioperative indexes of the observation group were significantly better than those of the control group (P < 0.05); the Harris scores at 1 month and 2 months after operation in the observation group were significantly better than those in the control group (P < 0.05); the ADL scores at 1 month, 2 month and 3 months after operation in the observation group were significantly better than those in the control group (P < 0.05). The hospital stay and time to bed-off activity in the observation group were significantly shorter than those in the control group (P < 0.05); the fracture healing time in the observation group was slightly shorter than that in the control group (P>0.05). The total incidence of complications in the observation group was 6.06%, which was significantly lower than 20.59% in the control group (P < 0.05).
Conclusion Both PFNA and PFLP can effectively treat the elderly patients with femoral intertrochanteric fracture, but the internal fixation with PFNA is better than the internal fixation with PFLP in comprehensive efficacy, and physiological function of joint recovers faster in the early stage after internal fixation with PFNA.

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Effect of internal fixation with proximal femoral nail antirotation in treatment of elderly patients with femoral intertrochanteric fracture

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