Clinical Effect of Anti-Rotation Intramedullary Nail Fixation on Femoral Intertrochanteric Fracture with Spiral Blade
[Objective]To investigate the clinical effect of proximal femoral anti-rotation intramedullary nail(PFNA)with spiral blade in the treatment of femoral intertrochanteric fracture(FIF).[Methods]The clinical data of 108 patients with FIF admitted to the Baoji Sixth People's Hospital,Shaanxi Province from June 2017 to May 2022 were retrospectively analyzed.According to different treatment methods,they were divided into PFNA group(PFNA internal fixation,n=57)and dynamic hip screw(DHS)group(DHS internal fixation,n=51).The surgi-cal indexes,hip function,imaging indexes(femoral neck trunk Angle,femoral anterior inclination Angle),lower extremity function,life ability score and complication rate were compared between the two groups.[Results]The operative time and blood loss in the PFNA group were less than those in the DHS group(all P＜0.05).There was no significant difference in the first weight-bearing time and fracture healing time between the two groups(all P＞0.05).The good and excellent rate of hip joint Harris score in PFNA group was higher than that in DHS group(P＜0.05).There was no significant difference in femoral neck trunk Angle and femoral anterior inclination Angle be-tween the two groups 6 months after operation(P＞0.05).The lower limb Function Scale(LEFS)score and Bar-thel index score of both groups at 6 months after surgery were higher than those before surgery(both P＜0.05).There was no significant difference in LEFS score and Barthel index score between the two groups 6 months after surgery(P＞0.05).There was no significant difference in the total incidence of postoperative complications be-tween the two groups(P＞0.05).[Conclusion]Spiral blade PFNA internal fixation is effective in the treatment of FIF,which can improve the quality of life of patients.It has good safety,which is worthy of clinical application.
万方数据
维普
