Effect of Proximal Femoral Nail Autirotation on Postoperative Pain in El-derly Patients with Intertrochanteric Fracture of Femur
Objective To explore the effect and value of proximal femoral nail antirotation(PFNA)in the treatment of elderly patients with intertrochanteric fracture of femur.Methods The clinical data of 78 elderly patients with intertro-chanteric fractures admitted to the Department of Orthopedics,Shouning County Hospital from January 2022 to Janu-ary 2024 were retrospectively selected.According to different surgical methods,39 patients in the control group were treated with proximal femoral anatomical locking plate,and 39 patients in the observation group were treated with PFNA.Perioperative indicators,complications,pain,bone alkaline phosphatase level,hip function and quality of life were compared between the two groups.Results The operation time,intraoperative blood loss,incision length,weight-bearing time and hospitalization time in the observation group were better than those in the control group,and the dif-ferences were statistically significant(all P<0.05).The total incidence of complications in the observation group was 7.68%(3/39),which was lower than 25.62%(10/39)in the control group,and the difference was statistically signifi-cant(χ2=4.523,P<0.05).At 7 days,1 month and 3 months after operation,the Visual Analogue Scale(VAS)of the ob-servation group was lower than that of the control group,and the difference was statistically significant(all P<0.05).At 3 months after operation,the bone alkaline phosphatase level,hip joint function score and quality of life score in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion In the treatment of intertrochanteric fractures in the elderly,PFNA can further optimize periopera-tive indicators,reduce complications,reduce pain,improve bone alkaline phosphatase level recovery and hip function,and also improve the quality of life of patients.
Intertrochanteric fracture of femurProximal femur anatomical locking plateProximal femoral nail antirotationComplicationPainHip joint function
万方数据
维普
