Reduction with proximal femur nail anti-rotation in lateral position for unstable femoral intertrochanteric fracture

doi:10.3969/j.issn.2095-4344.0260

Abstract

Abstract:

BACKGROUND: Unstable femoral intertrochanteric fractures often fail to get a good reduction using a traction bed, which usually needs auxiliary reduction by open reduction or other minimally invasive reduction techniques.

OBJECTIVE: To explore the treatment outcomes of proximal femur nail anti-rotation (PFNA) on patients with unstable intertrochanteric fracture in lateral position.

METHODS: Data of 84 patients with unstable intertrochanteric fractures admitted from May 2013 to August 2015 were analyzed retrospectively. They were acute fractures, and classified by AO classification, including 26 cases of type A2 and 58 cases of A3. The patients were then divided into two groups (n=42 per group): group A received manual reduction in lateral position, and group B received reduction on a traction bed in horizontal position. The quality of fracture reduction, failure rate of closed reduction, operation time, intraoperative blood loss, fluoroscopy times, healing time and Harris scores at 1 year postoperatively were recorded for comparative analysis.

RESULTS AND CONCLUSION: (1) Compared with the group B, in the group A, the quality of reduction was improved, the operation time was reduced by 13 minutes, intraoperative blood loss was reduced by 50.65 mL, fluoroscopy times was reduced by 18.59 times, and the Harris score at 1 year postoperatively was increased by 10.58, and the differences were significant (P < 0.05). (2) In summary, the PFNA in lateral position for reduction of unstable intertrochanteric fractures can shorten the operation time, reduce intraoperative blood loss and improve the reduction efficacy, thus exhibiting a more obvious advantage compared with the traction bed.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Femoral Fractures, Internal Fixators, Tissue Engineering

CLC Number:

R318

Kang Yi-feng, Xu Yong-qiang, Feng Si-yin, Huang Yan, Yan Ge, Wang Yu-si . Reduction with proximal femur nail anti-rotation in lateral position for unstable femoral intertrochanteric fracture[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(19): 2988-2993.

Figures/Tables 2

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