PFNA in Different Position for the Treatment of Elderly Patients with Femoral Intertrochanteric Fractures

Abstract：Objective To investigate the PFNA in supine position and lateral decubitus position for the treatment of elderly patients with femoral intertrochanteric fractures for EvansⅡ~Ⅲ type.Methods 120 elderly patients with fem-oral intertrochanteric fractures for Evans Ⅱ~Ⅲ type were chosen in the period from April 2010 to April 2013 in our hospital and randomly divided into both group including A group (60 patients)with PFNA in supine position and B group (60 patients)with PFNA in lateral decubitus position;and the peri-operative indexes levels,the excellent and good rate of Harris scores postoperative for hip joint function and postoperative complication incidence of both groups were compared.Results The incision length,operative time and intraoperative blood loss of B group was significantly better than A group (P<0.05).The intraoperative X-ray dose of A group was significantly better than B group (P<0.05).There was no significant difference in fracture healing time between 2 groups(P>0.05).There was no significant difference in the excellent and good rate of Harris scores postoperative for hip joint function between 2 groups (P>0.05).There was no significant difference in the postoperative complication incidence between 2 groups(P>0.05).Con-clusion PFNA including supine position and lateral decubitus position in the treatment of elderly patients with femoral intertrochanteric fractures for EvansⅡ~Ⅲ type possess the same effect to promote recovery process of hip joint func-tion and not induce the serious postoperative complication;PFNA in the lateral decubitus position application can effi-ciently reduce the trauma degree in the operation and shorten the operation time,but increase the intraoperative X-ray dose.