Effect of Artificial Replacement and Proximal Femoral Nail Antirotation in the Treatment of Intertrochanteric Fractures in Elderly Patients / 中国医科大学学报

ABSTRACT

Objective To determine the efficacy of cemented hemiprosthetic hip joint arthroplasty in comparison with proximal femoral nail antirotation (PFNA) applied to femoral intertrochanteric fracture in elderly patients.Methods This retrospective analysis consisted of 58 patients with intertrochanteric fracture who underwent cemented hemiprosthetic hip joint arthroplasty and PFNA who were admitted between January 2010 and December 2014 in No.202 Hospital of PLA.Their operative time,bleeding volume,postoperative drainage volume,and joint function scores were compared.Results The cemented hemiprosthetic hip joint arthroplasty group had shorter operative time than the PFNA group,but the PFNA group had better Harris scores for joint function in the first month after operation and the last follow-up.Intraoperative hemorrhage and postoperative drainage were exceedingly high in the PFNA group.Conclusion Both therapies can be used to manage intertrochanteric fracture in elderly patients effectively.PFNA is mostly applied in patients with more-basic defects,worse physical conditions,worse tolerance to surgeries,and lighter osteoporosis,whereas cemented hemiprosthetic hip joint arthroplasty is more suitable for patients with less severe physical defects,more severe osteoporosis,and better physical conditions.