Effect of proximal femoral anti-rotation nail and dynamic hip screw fixation for treating intertrochanteric fracture in elderly patients
LI Ji-qing
ZHANG Lin-cun
SAN Jun-cheng
LUO Wen
WANG Shuai
TAN Kan
Abstract：Objective To compare the effect of proximal femoral nail anti-rotation ( PFNA) and dynamic hip screw(DHS)in the treatment of intertrochanteric fractures and to investigate their clinical effects .Methods Totally 52 elderly patients (19 males and 33 females aged from 62-88 with an average of 73.6 years) with femoral intertrochanteric fracture from Mar .2010 to Nov.2014 were selected.They were treated with internal fixation with PFNA(n=27) and DHS(n=25).The operation time,bleeding volume,healing time of the wounds,healing time of the fracture and postoperative rehabilitation time of the two groups were compared .Results Patients were followed up for 10-26 months.According to Harris score ,the total effective rate of the PFNA group was 91.6%,and the total effective rate of the DHS group was 84.5%.Infection occurred in one case ,deep venous thrombosis occurred in one case,and deformity in one case in the PFNA group .In the DHS group,nails displaced in two cases , bone union oc-curred in one case and one case developed nail breakage and malunion .There were statistical differences in surgical wound,average operation time ,bleeding volume ,healing time of the wounds and healing time of the fracture between the two groups(P<0.05).Conclusion PFNA internal fixation for intertrochanteric fracture of femur in the elder-ly patients can shorten operation time , lessen bleeding , and improve the prognosis of patients in comparison with DHS.It is safe and effective and is an ideal operation method for treating intertrochanteric fractures in elderly pa -tients.
Keywords：femoral intertrochanteric fractureintramedullary nailinternal fixationelderly
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 69-71 )