Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (4): 274-276 DOI: 10.16260/j.cnki.1009-2188.2018.04.009 |
| Clinical Research |
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| Proximal Femoral Nail Antirotation (PFNA) with or without Traction Bed Auxiliary Reduction in the Treatment of Intertrochanteric Fractures in Elderly Patients#br# |
| XIONG Jun， LIU Wei， LI Zaomin， CHEN Jianfei#br#
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Department of Orthopedics, Hainan General Hospital, Haikou 570311, Hainan, China
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Abstract Abstract:ObjectiveTo discuss and analyze the effects of proximal femoral nail antirotation (PFNA) with or without traction bed auxiliary reduction in the treatment of intertrochanteric fractures in the elderly.Methods69 elderly patients with femoral intertrochanteric fractures admitted from January 2015 to April 2017 treated by PFNA were selected as study objects. They were divided into group A (in supine position with traction bed auxiliary reduction) and group B (in ilateral decubitus position without traction bed auxiliary reduction). Group A contained 33 cases, and group B contained 36 cases. Anesthesia time, operating time, intraoperative blood loss, Xray fluoroscopy time, bone union time, postoperative complication rates, and Harris hip joint scores of the two groups were compared.ResultsAnesthesia time, operating time, intraoperative blood loss and Xray fluoroscopy time in group B were significantly lower than that of group A (P<0.001). There was no statistical difference on union time, postoperative complication rates and Harris hip joint scores (one year after surgery) between the two groups (P>0.05).ConclusionCompared with the traction bed auxiliary reduction in the supine position, it shows a more satisfactory clinical outcome of PFNA applied in elderly patients with intertrochanteric fractures using lateral decubitus position without traction bed auxiliary reduction during perioperative period, and both of them have such a similar prospective efficacy.
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Published: 23 October 2018
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| About author:: Xiong jun |
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