Key Points of Operation,Complications and Influence on Perioperative Indicators and Postoperative Recovery of PFNA in the Treatment of Femoral Intertrochanteric Fracture
ZHENG Jianyu
HE Haijun
ZHANG Liang
HU Wei
Abstract：Objective:To investigate the key operational points,complications,perioperative indicators,and postoperative recovery effects of femoral intertrochanteric fracture treatment using proximal femoral nail antirotation(PFNA).Method:A total of 60 patients with femoral intertrochanteric fractures treated at Jiangyin Traditional Chinese Medicine Orthopedic Hospital between January 2021 and June 2024 were enrolled.Patients were divided into Group A and Group B(30 cases each)according to different surgical approaches:Group A underwent femoral proximal locking plate internal fixation,while Group B received PFNA internal fixation.The therapeutic outcomes and complications were compared between the two groups.Result:Compared with Group A,Group B exhibited significantly reduced intraoperative blood loss and postoperative drainage volume,shorter hospital stays,and lower complication rates.The Harris scores in Group B were notably higher at both 3-month and 6-month follow-up,with statistically significant differences(P<0.05).Conclusion:For patients with intertrochanteric femoral fractures,the use of PFNA demonstrates superior surgical outcomes compared to proximal femoral locked plate internal fixation.It achieves three key benefits:substantially decreasing intraoperative blood loss and postoperative drainage,dramatically shortening recovery time,and markedly reducing postoperative complication risks—all contributing positively to improved hip joint function.
Keywords：Femoral intertrochanteric fractureProximal femoral nail antirotationPostoperative indicatorsPostoperative recovery
Publication Date：2025-11-15
Online Publishing Date：2025-12-17(First online date of this platform, not the publication date of the document)
Pages：4( 71-74 )