Closed reduction with PFNA in the treatment of femoral intertrochanteric fracture in elderly patients
GUI Jing-xiong
GUO Sheng
XU Guo-tai
XIE Jian-zhong
OU Ju-lun
ZHU Xiao-hua
DENG Zhi-cheng
Abstract：Objective In order to evaluate the efficacy of PFNA in the treatment of intertrochanteric frac-tures in elderly patients,and to explore the related complications and preventive measures.Methods Data of 114 elderly patients with intertrochanteric fracture were retrospectively analyzed,who were treated with closed reduction from Jan.2011 to Sep.2016.There were 34 males and 80 females,with an average age of 83.8 years(range,75-104).The operation time,intraoperative blood loss,weight-bearing time,hospital stay and postoperative complica-tions were observed.Curative effect was evaluated according to the Harris score standard.Results Totally 97 ca-ses were followed up.The follow-up time ranged from 6 to 25 months,with an average of 9.7 months.Harris score evaluation indicated 58 cases of excellent,27 cases of good,8 cases of fair,4 cases of poor,and the excellent and good rate was 87.6%.The operation time,intraoperative blood loss,weight-bearing time,and the hospital stay were (89.6 ±17.7)minutes,(109.8 ±46.6)mL,(12.1 ±7.5)days,(23.8 ±8.0)days,respectively.After opera-tion,there were 7 cases of delirium,16 cases of pulmonary infection and urinary tract infection,2 cases of femoral head cutting with coax vara,and 2 cases of lower extremity deep venous thrombosis.Conclusion The treatment of elderly femoral fracture patients is very difficult and has many complications.Intramedullary fixation with PFNA ac-cords with biomechanical characteristics and has the advantages of mini -invasiveness,reliable fixation and early weight-bearing activity.
Keywords：intertrochanteric fracturePFNAelderly
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 218-220 )