Closed reduction and internal fixation using PFNA for the treatment in elderly patients with femoral intertrochanteric fractures
Objective To investigate the curative effect and safety of the closed reduction and internal fixation using proximal femoral nail anti-rotation(PFNA) for the treatment in elderly patients with femoral intertrochanteric fractures. Methods Analyzed retrospectively the clinical data of the closed reduction and internal fixation using PFNA(PFNA group, n=30) or locking compression plate(LCP group, n=30) for treatment of 60 elderly patients with femoral intertrochanteric fractures in our hospital from January 2011 to June 2012. Results The amount of bleeding, hospital stays, load time, fracture healing time, and complication rate in the PFNA group were significant lower than those in the LCP group(P <0.05). Moreover, curative effect in the PFNA group was significant better than that in the LCP group(P <0.05). However, there was no significant difference in operation time between two groups(P >0.05). Conclusions Closed reduction and internal fixation using PFNA for the treatment in elderly patients with femoral intertrochanteric fractures has a lot of advantages, including effective, safety, less complication. It can be as preferred method to treat intertrochanteric fracture of femur.
Closed reductionProximal femoral nail anti-rotationElderly patientsFemoral intertrochanteric fractures