Objective To compare the clinical efficacy of proximal femoral nail antirotation(PFNA)and hemiarthro-plasty(HA)in the treatment of elderly femoral intertrochanteric fracture.Methods The 106 elderly patients with femoral intertrochanteric fractures were divided into PFNA group(64 cases)and HA group(42 cases),according to different treatment methods.Operation time,intraoperative blood loss,intraoperative fluoroscopy frequency,hospital stay,hospital cost,partial weight-bearing time and complications were recorded.Harris score was used to evaluate hip joint function.Results All patients were followed up for 12～24 months.Operation time,intraoperative blood loss and hospitalization cost were shorter(less)in PFNA group than those in HA group(P＜0.05).The frequency of intr-aoperative fluoroscopy in PFNA group was more than that in HA group(P＜0.05).Partial weight-bearing time in HA group was earlier than that in PFNA group(P＜0.05).There was no statistical difference in hospital stay between the two groups(P＞0.05).The Harris score of hip function:HA group was higher than PFNA group at 1,3 and 6 months after operation(P＜0.05);while there was no statistical difference between the two groups at 12 months after surgery(P＞0.05).The complication occurrence rate of HA group was lower than PFNA group(P＜0.05).Conclusions Compared with PFNA,HA has more advantages in the early improvement of hip function and the reduction of postop-erative complications,in the treatment of elderly intertrochanteric fracture,but it has the disadvantages of long opera-tion time,more intraoperative blood loss and high hospitalization cost.
关键词
老年人/股骨转子间骨折/股骨近端防旋髓内钉/半髋置换
Key words
aged/femoral intertrochanteric fracture/proximal femoral nail antirotation/hemiarthroplasty
维普
万方数据