Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (4): 585-588.doi: 10.3969/j.issn.1673-8225.2011.04.004

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Proximal femoral nail anti-rotation versus artificial femoral head replacement for femoral intertrochanteric fracture in the elderly

Meng Xiang-qi1, Ding Ning2, Yu Ji-wen3, Yuan Feng2, Feng Hu2   

  1. 1Department of Orthopaedics, People’s Hospital of Ganyu, Lianyungang 222100, Jiangsu Province, China
    2Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical College, Xuzhou  221002, Jiangsu Province, China
    3Department of Orthopaedics, First People’s Hospital of Lianyungang, Lianyugang   222000, Jiangsu Province, China
  • Received:2010-08-18 Revised:2010-12-01 Online:2011-01-22 Published:2011-01-22
  • Contact: Ding Ning, Master, Surgeon, Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, Jiangsu Province, China sddingning@163.com
  • About author:Meng Xiang-qi, Department of Orthopaedics, People’s Hospital of Ganyu, Lianyungang 222100, Jiangsu Province, China mxq2632398@163. com

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Abstract:

BACKGROUND: It remains controversial on treatments for elderly femoral intertrochanteric fracture in elderly.
OBJECTIVE: To compare the curative effects between proximal femoral nail anti-rotation (PFNA) and artificial femoral head replacement in treatment of femoral intertrochanteric fracture in the elderly.
METHODS: From October 2007 to June 2009, 79 cases of femoral intertrochanteric fracture in elderly patients were treated by PFNA (n=34 cases, aged 65-81 years) and femoral head replacement (n=45, aged 67-94 years). The difference of length of stay, operation time, intraoperative bleeding, postoperative complications and the function changes of hip joint was analyzed.
RESULTS AND CONCLUSION: All patients were followed up for 6 to 24 months, with an average of 17.5±4.9 months. There were no statistical differences between two groups in terms of hospital stay, postoperative complications and function change of hip (Harris scores; P > 0.05). PFNA exhibited advantages in operation time (P< 0.001), intraoperative bleeding (P < 0.000 1) compared with artificial femoral head replacement, but bedridden time was longer than artificial femoral head replacement group (P< 0.0001). Both the PFNA method and the artificial femoral head replacement have good clinic curative effects in treatment of femoral intertrochanteric fracture in elderly patients. PFNA has advantages of short operation time and less bleeding but long bedridden time. The surgery should be selected according to the actual situations of patients.

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