Effect of proximal femoral nail anti-rotation and locking proximal humeral plate on femoral intertrochanteric fracture in elderly patients

Abstract

Objective To compare the clinical effects of proximal femoral nail anti-rotation (PFNA) and locking proximal humeral plate (LPHP) on femoral intertrochanteric fracture in elderly patients. Methods Ninety-four elderly patients with femoral intertrochanteric fracture were divided into control group and observation group by random number table method, with 47 cases in each group. Patients in control group were treated by LPHP, while patients in observation group were treated by PFNA. The hospital stays, bleeding volume, operation time, fracture healing time, hip joint function, activity of daily living (ADL), the incidence of complications were compared between the two groups. Results The operation time and intraoperative bleeding volume in observation group [(77.62±10.17)min, (114.82±23.60)ml]were less than those in control group [(108.84±15.63)min, (225.76±73.71)ml], P<0.05; after treatment, the Harris scores of two groups increased compared with those before treatment, and observation group (79.72±8.08) was higher than control group (69.63±5.11), P<0.05; after treatment, the ADL scores of two groups decreased, and observation group (24.83±6.07) was lower than control group (31.77±6.16), P<0.05. The incidence of complications in observation group (2.13%) was lower than that in control group (17.02%), P<0.05. Conclusions The efficacy of PFNA on femoral intertrochanteric fracture in elderly patients is better than that of LPHP, it can shorten operation time and bleeding volume, reduce intolerance of operation in patients, promote recovery of hip joint function and decrease complications. Key words: Proximal femoral nail anti-rotation; Locking proximal humeral plate; Femoral intertrochanteric fracture