Effect of PFNA Internal Fixation on Range of Motion and Balance Ability in Elderly Patients with Hip Fracture
Objective To study the effect of proximal femoral nail antirotation(PFNA)internal fixation on range of motion and balance in elderly patients with hip fracture.Methods Sixty elderly patients with hip fracture admitted to Jinggangshan People's Hospital from June 2021 to August 2023 were selected and divided into control group(30 patients)and observation group(30 patients)by random number table method.The control group was treated with locking proximal femoral bone plate(LPFP)internal fixation,while the observation group was treated with PFNA internal fixation.The operation-related indicators(operation time,off-bed weight-bearing time,postoperative hospital stay,fracture healing time),range of motion(hip flexion activity,hip abduction activity),Harris hip function score,Berg Balance Scale(BBS)score,and complications were compared between the two groups.Results The operation time,off-bed weight-bearing time,postoperative hospitalization time and fracture healing time of the observation group were shorter than those of the control group(P＜0.05).At 2 months after treatment,the hip flexion activity and hip abduction activity of the two groups were greater than those before treatment,and the hip flexion activity and hip abduction activity of the observation group were greater than those of the control group(P＜0.05).At 2 months after treatment,the Harris hip function score and BBS score of the two groups were higher than those before treatment,and the Harris hip function score and BBS score of the observation group were higher than those of the control group(P＜0.05).The incidence of surgical complications in the observation group was lower than that in the control group(P＜0.05).Conclusion PFNA internal fixation has definite application value in the treatment of hip fracture in the elderly.It has short operation time,fast postoperative recovery and few surgical complications.Meanwhile,it can improve the joint mobility and balance ability of patients and promote the recovery of hip joint function.
Proximal femoral nail antirotationInternal fixation treatmentHip fractureElderly patientsRange of motionBalance ability
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