Short-term efficacy of the proximal femoral nail antirotation system versus intertrochanteric antegrade nail system in the treatment of femoral intertrochanteric fracture

doi:10.3969/j.issn.2095-4344.2017.31.012

Abstract

Abstract:

BACKGROUND: Femoral intertrochanteric fracture is a common fracture type in elderly patients, and which kind of internal fixation system is better remains controversial.

OBJECTIVE: To investigate the short-term efficacy of proximal femoral nail antirotation (PFNA) system versus intertrochanteric antegrade nail (InterTan) system in the treatment of femoral intertrochanteric fracture.

METHODS: Forty-five patients with femoral intertrochanteric fracture were divided into PFNA (n=19) and InterTan (n=26) groups. The operation time, intraoperative blood loss hospitalization time, incidence of complications and Harris hip scores at postoperative 3 months were compared between two groups.

RESULTS AND CONCLUSION: (1) Patients with PFNAs enjoyed a significantly shorter operation time at (125.8±21.5) minutes compared those with InterTans who needed (156.2±54.5) minutes (P < 0.05). (2) The intraoperative blood loss in the PFNA and InterTan groups was (226.3±107.2) mL and (300.0±150.3) mL, respectively, but the difference was not significant (P > 0.05). (3) No significant difference was identified in the hospitalization time, incidence of complications and Harris hip scores at postoperative 3 months between two groups (P > 0.05). (5) Our findings indicate that except for short operation time in PFNA system, there are no significant differences in the intraoperative blood loss, hospitalization time, incidence of complications and Harris hip scores at postoperative 3 months between two internal fixation systems, and both possess good safety and efficacy in postoperative short period.

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: Femur, Fractures, Bone, Internal Fixators, Tissue Engineering

CLC Number:

R318

Liang Ning, Jiang Jun, Qiu Hai-bin, Daniel Porter, Wang Zhan-chang. Short-term efficacy of the proximal femoral nail antirotation system versus intertrochanteric antegrade nail system in the treatment of femoral intertrochanteric fracture [J]. Chinese Journal of Tissue Engineering Research, 2017, 21(31): 4989-4994.

Figures/Tables 2

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