Abstract:

BACKGROUND: Almost 78.9% patients with proximal femoral fractures are aged over 65, and often accompanied by cardiovascular diseases, diabetes or lung disease. There is high risk of surgical treatment, and there is the phenomenon of osteoporosis and slow fracture healing, so a traumatic small, less bleeding and stable internal fixation method is required.
OBJECTIVE: To multi-level explore and analyze the researches related to proximal femoral nail anti-rotation for the treatment of proximal femoral fractures.
METHODS: A computer-based search was performed in CNKI database from January 2008 to December 2011 for the literatures related to proximal femoral nail anti-rotation for the treatment of proximal femoral fractures, the key words were “proximal femoral nail anti-rotation, proximal femoral, fractures, internal fixation”, and the analysis capabilities of the database and Excel chart function were used to analyze the data characteristics.
RESULTS AND CONCLUSION: A total of 35 literatures related to proximal femoral nail anti-rotation for the treatment of proximal femoral fractures were screened out from CNKI database from 2008 to 2011. In 2011, 23 literatures were obtained in the database, and the number of the literature was on an increasing trend. Most of the literatures were published by Journal of Clinical Orthopaedics. The key words analysis showed that the proximal femoral nail anti-rotation mainly used for the treatment of elderly intertrochanteric fracture. The excellent and good rate of hip function score was more than 80% after the elderly intertrochanteric fracture treated by proximal femoral nail anti-rotation, and the method has the advantages of short operation time, well postoperative healing, less complication and can recover within short time. Proximal femoral nail anti-rotation is an ideal method for the treatment of elder proximal femoral fractures.