Vol.4 No.1 (March 2014)
The Clinical Effects of Proximal Femoral Nail Anti-Rotation (PFNA) on the Treatment of the Senile Osteoporotic Femoral
Objective: To observe the therapeutic effect of senile osteoporotic femoral intertrochanteric fractures treated with proximal femoral nail anti-rotation (PFNA). Method: From 2010 to 2013, 34 cases (11 males, 23 females) of senile osteoporosis femoral intertrochanteric fractures were treated with PFNA, who aged from 62 to 87. According to the classification of AO, there were 10 cases of A1, 13 cases of A2, 11 cases of A3. Operative time, volume of blood loss and the condition of fracture union were observed with the follow-up of 6 - 11 months. Results: mean operating time was 65 minutes, mean intraoperative bleeding volume was 160 ml, cases were followed up from 6 months to 11 months, and mean healing time was 7.5 months. According to the Harris criterion for evaluation, the effects were excellent in 25 cases, good in 7 cases and fair in 2 cases, the excellent and good rate was 94.1%. Conclusion: The treatment of senile osteoporosis femoral intertrochanteric fracture with PFNA is less traumatic, fixed firmly and operated simply, in favor of fracture healing and function recover.
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