Comparison of InterTan and PFNA Ⅱ in the treatment of intertrochanteric fracture in elderly patients
YU Ling
JIA Peng
SUN Xiangran
HU Qingzhu
ZHENG Di
DAI Guo
GUO Weichun
Abstract：Objective To compare the clinical effects of InterTan and PFNA Ⅱ in the treatment of intertrochanteric fracture in elderly patients.Methods Elderly patients (more than 80 years old) with intertrochanteric fracture from January 2012 to January 2016 were retrospectively analyzed.A total number of 42 patients were collected who underwent either InterTan or PFNA Ⅱ fixation.The perioperative information was recorded.The complications, healing time and Harris Hip Score were compared between two groups.Results The average operating time (P <0.05) and the average volume of intraoperative bleeding (P <0.05) were longer or greater in InterTan group than PFNA group (t =2.331, t =3.948, P =0.035, P=0.016).There were 5 (25.0%) internal fixation related complications in the InterTan group, while PFNA Ⅱ experienced 6 Lateral greater trochanter fractures (27.3%), the difference was not significant.The average follow up period was 6.8 months.The average duration to bony union in InterTan group was (14.0±3.2 weeks), which was shorter compared to (14.5±3.3 weeks) in PFNA Ⅱ group, however, the difference was not significant.There was no significant difference of statistics in excellent rate between two groups during the last follow up (P >0.05).Conclusion Both InterTAN and PFNA Ⅱ can be used in the intertrochanteric fractures in the elderly patients to support early functional exercise.However, PFNA Ⅱ had advantages of less operation time and blood loss.
Keywords：Intertrochanteric fractureElderlyInterTanPFNA ⅡInternal fixation
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( 922-926 )