Comparison of proximal femoral nail antirotation and hip replacement in treating femoral intertrochanteric fracture in the elderly
HAO Xing-zhe
Abstract：Objective To explore the outcome of the proximal femoral nail antirotation( PFNA) internal fixation and hip replacement( total hip replacement or artificial thigh bone replacement) in treating femoral intertro-chanteric fracture in elderly patients.Methods Clinical data was retrospectively analyzed in 126 elderly patients with femoral intertrochanteric fracture who were treated by proximal femoral nail antirotation( PFNA) internal fixa-tion and hip replacement from 2010 to 2013.There was 57 males and 69 females,with an average age of 74.5 years (65-92 years).The advantages and disadvantages in the operation wound,postoperative complication and hip func-tion were compared between the two methods.Results PFNA had the advantages of small incision,mini-invasive trauma in the deep tissue and less blood loss,but some patients appeared with femoral neck screw cutout; patients with artificial hip replacement could leave the bed early but had the problems of hip joint dislocation and infection. There was no difference in early joint function between the two groups, but the joint function 1 year after operation in the PFNA group was better.Conclusion PFNA for treating intertrochanteric fracture in the elderly is better than hip replacement,but the indication selection is more important.
Keywords：femoral intertrochanteric fracturePFNAhip replacementelderly
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：4( 162-165 )