Clinical Experience of Treatment for Femoral Intertrochanteric Fractures in Elderly Patient with Close Reduction and PFNA Fixation
Abstract：Objective:To investigate the clinical effects of closed reduction and internal fixation with PFNA for elderly patients with femoral intertrochanteric fracture. Method:From September 2011 to September 2013,23 patients with femoral intertrochanteric fractures were treated with closed reduction and interna1 fixation with PFNA. According to Evans classification,one case was type I ,2 cases were typeⅡ,12 cases were typeⅢand 8 cases were typeⅣ. Result:The mean operating time was (45.83±12.41)min. The mean intraoperative bleeding volume was (89.57±42.37)ml.23 patients were followed up for average 14.6 months(8 to 17 months).Bone union was achieved in all cases.There were no infection,lag screw cut-out,femora1 head necrosis,varus deformity or other complications. The data was evaluated with Merle D’Aubigne scale system,5 patients were graded as excellent,7 were good,and one was fair.The excellent and good rate was 95.65%.Conclusion:It is a reliable and ideal method to treat intertrochanteric fractures with PFNA in elderly patients,because the procedure is convenient and less invasive,resulting in firm fixation,less blood loss,short operation time,and high healing rate.
Keywords：Close reductionPFNAElderly patientsIntertrochanteric fracture
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 22-23 )