Abstract
Objective: To compare the clinical efficacy of artificial femoral head replacement and Proximal femoral nail antirotation (PFNA) in the treatment of unstable femoral intertrochanteric fractures in the elderly. Methods: This study retrospectively analyzed 60 elderly patients with unstable intertrochanteric fractures treated with PFNA and artificial femoral head replacement from 2015.06 to 2018.06, of which 34 were in the PFNA group (Group A) and 26 in the artificial femoral head replacement group (Group B). Statistical analysis of relevant surgical indicators such as surgical time, intraoperative blood loss, postoperative blood transfusion, postoperative time to landing, postoperative infection rate, hospital stay, number of secondary operations, postoperative VAS score, and postoperative Hip function score comparison. Results: All 60 patients were followed up for 1 - 24 months. Compared with the artificial femoral head replacement group, the operation time of PFNA group was shorter, the blood loss during operation was less, and the difference was statistically significant (P 0.05). Conclusion: The hip joint function and pain scores of the artificial femoral head replacement group in the early and follow-up periods are better than those of the PFNA group. The artificial femoral head replacement is more suitable for the treatment of elderly unstable intertrochanteric fractures.
Highlights
Hip fractures in the elderly are one of the three major types of fractures in the elderly
This study retrospectively analyzed 60 elderly patients with unstable intertrochanteric fractures treated with Proximal femoral nail antirotation (PFNA) and artificial femoral head replacement from 2015.06 to 2018.06, of which 34 were in the PFNA group (Group A) and 26 in the artificial femoral head replacement group (Group B)
This study randomly selected 60 elderly patients with unstable femoral intertrochanteric fractures treated with PFNA and artificial femoral head replacement from 2015.06 to 2018.06
Summary
Hip fractures in the elderly are one of the three major types of fractures in the elderly. 90% of patients with intertrochanteric fractures are older than 70 years, accounting for 45% of hip fractures, of which unstable types account for about 35% - 40% [1] [2], the mortality of femoral intertrochanteric fractures in the elderly is high, and the mortality rate of conservative treatment is 34.6% [3]. Studies have shown that the use of artificial joint replacement in the treatment of elderly intertrochanteric fracture has a good effect; patients can be early out of bed activities, reducing the occurrence of bed-ridden complications. A total of 60 elderly patients with unstable intertrochanteric fractures were treated in our hospital from 2015.06 to 2018.06 They were treated with PFNA and artificial femoral head replacement, respectively, and the effects of the two surgical methods were compared, as reported below
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