CLINICAL EFFECT OF PFNA INTERNAL FIXATION VERSUS HEMIARTHROPLASTY IN TREATMENT OF ELDERLY FEMORAL INTERTROCHANTERIC FRACTURES
Objective To investigate the clinical effect of proximal femoral nail anti-rotation (PFNA) internal fixation versus hemiarthroplasty in the treatment of elderly femoral intertrochanteric fractures.Methods A total of 89 patients with femoral intertrochanteric fractures were treated with PFNA internal fixation (group A),and 35 patients were treated with hemiarthroplasty (group B).The two groups were compared in terms of incision length,intraoperative blood loss,time of operation,length of hospital stay,postoperative weight-bearing time,fracture healing time,Harris score,and incidence of complications.Results The patients were followed up for 6 24 months after surgery (mean 12 months).Compared with group B,group A had significantly shorter incision length,time of operation,and length of hospital stay,significantly less intraoperative blood loss,significantly lower incidence rates of complications,a significantly higher Harris score,and a significantly longer postoperative weightbearing time (t =6.535-11.948,x2 =30.25,Uc =3.05,P ＜0.05).There was no significant difference in mean fracture healing time between the two groups (P＞0.05).Conclusion Compared with hemiarthroplasty,PFNA internal fixation has a marked effect in the treatment of femoral intertrocanteric fractures,with the advantages of little trauma,quick recovery,and few complications.
femoral fracturesbone nailsfracture fixationarthroplasty, replacement, hip
NETL
NSTL
万方数据
维普
