Early curative effects of dynamic hip screw or proximal femoral nail antirotation on femoral intertrochanteric fracture in elderly patients
Chen Wenxue
Qi Yuefeng
Zheng Yibing
Zhang Lei
Abstract：Objective To compare the early efficiency of dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) in treatment of elderly femoral intertrochanteric fracture patients.Methods Totally 89 cases of intertrochanteric fracture were retrospectively studied,including 43 patients in both DHS treatment group and DHS group,46 cases in the PFNA group.Incision length,operation time,postoperative complications and early efficacy were analyzed.All patients were followed up for 9 to 18 months with mean (11.6 ± 2.2) months.Results Incision length was (9.8 ± 1.3) cm in DHS group and (5.2 ± 0.9) cm in PFNA group; there was significant difference between two groups (P ＜ 0.05).Operation time was (85 ± 16) min in the DHS group and (46 ± 11) min in the PFNA group; average bleeding volume was (150 ±30) ml in the DHS group and (50 ± 11) ml in the PFNA group,there were significant differences between the two groups (P ＜ 0.01 for both).The overall complication rate was 4.8％ (2/42)in the PFNA group,15.0％ (6/40)in the DHS group; both groups had significant difference (P ＜ 0.05).The excellent and good rate of Harris hip score was 75.0％ (30/40) in DHS group and 90.5 ％ (38/42) in the PFNA group ; both groups were statistically significant (P ＜ 0.05).Conclusions PF-NA treatment for elderly intertrochanteric fracture has advantages of few complications,stable fixation,anti-rotation and anti-cutting.When the indications are proper,DHS and PFNA are ideal fixations treating the elderly patients with the femoral intertrochanteric fractures.
Keywords：Intertrochanteric fractureDynamic hip screwProximal femoral nail antirotationEarly effect
Publication Date：2014-12-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1787-1789 )