Effect of Proximal Femoral Nail Antirotation in the Treatment of Femoral Intertrochanteric Fractures
Objective:To investigate the efficacy of proximal femoral nail antirotation (PFNA) in patients with femoral intertrochanteric fractures compared with proximal locking plate.Method:A total of 88 patients with femoral intertrochanteric fractures treated in Ruichang Hospital of Traditional Chinese Medicine from January 2020 to January 2023 were divided into conventional group and study group according to the random number table method,with 44 cases in each group.The conventional group was treated with proximal femoral locking plate,and the study group was treated with PFNA.The operative time,intraoperative blood loss,and hip recovery were compared between the study group and the conventional group,and the tip apex distance (TAD) of the two groups were compared 6 months after surgery,and the complications and postoperative fracture nonunion rate of the two groups were analyzed.Result:The operation time in the study group was shorter than that in the conventional group,and the intraoperative blood loss was less than that in the conventional group (P<0.05),the excellent rate of hip joint recovery in the study group at one month after surgery was higher than that in the conventional group (P<0.05),the TAD in the two groups at 6 months after surgery were higher than those before operation,and the TAD in the study group was higher (P<0.05),the incidence of complications in the study group was lower than that in the conventional group (P<0.05),and the fracture nonunion rate in the study group was lower than that in the conventional group (9.09％ vs 25.00％) (P<0.05).Conclusion:PFNA is effective in promoting hip function and TAD recovery in patients with intertrochanteric fracture,compared with proximal femoral locking plate,PFNA can reduce intraoperative blood loss,speed up the surgical process,and reduce postoperative complications.
Femoral intertrochanteric fractureProximal femoral nail antirotationTip apex distance
万方数据
维普
