Evaluation of the clinical curative effects of PFNA and Gamma nail in the treatment of intertrochanteric fractures
HOU Yong
LI Jing-kun
SI Meng
ZHAO Hua
PAN Xin
NIE Lin
Abstract：Objective To evaluate and compare the clinical effects of proximal femoral nail anti-rotation (PFNA),Gamma nails and anatomy plate (AP) in treating intertrochanteric fractures.Methods The clinical data of 68 cases of intertrochanteric fractures treated with PFNA or Gamma nails or AP from Jan.2010 to Dec.2012 was retrospectively analyzed.Among them 29 were males and 39 were females with an average of 75.7(70-85) years.Among these patients 27 were treated with PFNA,24 were treated with Gamma nails and 17 were treated with AP.The mean operative time,blood loss during operation,fracture healing time,post-operative Harris score and complications were observed.Results There was no significant difference in fracture healing time,Harris score and complications among the three groups,while the PFNA group [(63.00±14.00) min] and the Gamma nail group [(70.00±16.00)min] needed less operative time than the AP group [(91.00±11.00) min],and the PFNA group [(139.11±24.58)mL] had less blood loss during operation than the Gamma nails group [(188.38±16.53)mL] and the AP group [(233.74±11.06)mL].Conclusion PFNA,Gamma nail and AP are preferable fixations in treating intertrochanteric fractures,and could achieve ideal clinical outcomes.Compared to AP,PFNA and Gamma nails needed less operative time.Compared to Gamma nails and AP,PFNA had less blood loss during operation.
Keywords：intertrochanteric fracturesGamma nailsinternal fixationelderly
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 164-168 )