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Proximal femoral nail antirotation versus hemiarthroplasty: A study for the treatment of intertrochanteric fractures
Injury, 05/11/2012
Tang P et al. – For elderly patients with intertrochanteric fractures, Proximal femoral nail antirotation (PFNA) was superior to hemiarthroplasty according to the operative statistics, but there were no significant differences in functional outcome.
Methods- A retrospective study was performed in the institution, 303 consecutive patients were followed up with mean age of 81.7years.
- 147 were treated with PFNA, and 156 were underwent hemiarthroplasty.
- The average follow-up period was 39.9months.
- The mortality at 1month, 1year, 3years and the total was 6.6%, 18.6%, 27.6% and 30.3%, respectively.
- There were no significant differences between the groups in terms of demographic data.
- There were statistical significances in the operative statistics, especially the anaesthesia, operation lasting time, blood loss, blood transfusion and the drainage.
- There was no significant difference in Harris Hip Score between PFNA and hemiarthroplasty group, but the detail items were quite different.
- Significant difference was found in the excellent-to-fine rate (PFNA 90.2% and hemiarthroplasty 79.6%).
- Complications occurred in 34 patients, although incidences of complications were higher in hemiarthroplasty group (14.1% vs. PFNA 8.96%), no statistical difference was found.