Proximal femoral nail anti-rotation versus long-stem bipolar femur prosthetic replacement for the treatment of proximal femoral fractures in the elderly patients
HUANG Zhi-yong
LUO Jian
YIN Guo-dong
CHENG Guan-hua
PU Xiao-bin
GUO Shan-cheng
HE Ping
CHEN Cai-feng
Abstract：Objective To compare the clinical efficacy of (proximal femoral nail anti-rotation, PFNA) and arthroplasty ( long-stem bipolar femur prosthetic replacement ) in the treatment of intertrochanteric fractures in elder-ly patients.Methods The clinical data of 84 elderly patients who suffered from intertrochanteric fracture and were treated by either PFNA or arthroplasty was retrospectively analyzed .There were 39 males and 45 females,with age ranging from 65 to 96 years(mean 69.2 years).There were 65 cases of falling injury,9 cases of high-falling injury, and 10 cases of road traffic injuries and other injuries .All the patients were randomly divided into PFNA group ( n=33) and arthroplasty group(n=51).The operative time,blood loss,X-ray exposure,hospital stay,Harris score,hip function and complication rate were compared between the two groups .Results The operative time and intraopera-tive blood loss in the PFNA group were better than those of the arthroplasty group (P<0.05),but the X-ray expo-sure frequency and length of hospitalization of the PFNA group were larger than those of the arthroplasty group ( P<0.05).The Harris score of the arthroplasty group was improved more greatly than the PFNA group (P<0.05)within 3 months after operation .There was no statistical difference in hip function and complications rate between the two groups at 6 months after operation ( P>0.05) .Conclusion The two kinds of operation modes have their own advan-tages and disadvantages ,and the surgical choice should be based on the patient's own condition and fracture type .
Keywords：femoral interchanteric fracturesintramedually nailjoint 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( 738-741 )