Comparison of Clinical Effects of Artificial Femoral Head Replacement and Proximal Femoral Anti-rotation Intramedullary Nail in the Treat-ment of Elderly Patients with Intertrochanteric Fracture of Femur
Objective To examine the clinical outcomes of artificial hip joint replacement versus proximal femoral nail anti-rotation(PFNA)in treating intertrochanteric fracture of femur(IFOF)among elderly patients.Methods A total of 100 elderly patients with IFOF admitted to the Fuqing Third Hospital from January 2021 to December 2023 were ran-domly selected as the research objects,and they were divided into two groups according to different surgical schemes,with 50 cases in each group.The control group was treated with artificial femoral head replacement,and the observa-tion group was treated with PFNA.The basic indexes of operation,hip joint function and complications in the two groups were compared.Results The basic indexes of the operation in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).At 6 months after operation,the scores of pain,function,deformity,joint motion and total score of Harris Hip Function Assessment Scale in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The inci-dence of postoperative adverse reactions in the observation group was 4.00%(2/50),which was lower than 16.00%(8/50)in the control group,and the difference was statistically significant(χ2=4.000,P=0.045).Conclusion The clinical treatment effect of PFNA in elderly patients with IFOF is better than that of artificial femoral head replacement,which can more effectively reduce adverse reactions and accelerate the recovery of hip joint function after operation.
Intertrochanteric fracture of femur in the elderlyArtificial femoral head replacementProximal femoral anti-rotation intramedullary nail for proximal femurHip joint function
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