Effectiveness of proximal femoral nail anti-rotation for high plane intertrochanteric femur fractures

To evaluate the effectiveness of proximal femoral nail anti-rotation (PFNA) in treatment of high plane intertrochanteric femur fractures. A retrospective analysis was performed on 33 patients who underwent closed reduction and PFNA fixation for high plane intertrochanteric femur fracture between Jan...

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Bibliographic Details
Published in:Zhongguo xiu fu chong jian wai ke za zhi 2021-03, Vol.35 (3), p.307-311
Main Authors: Hu, Sunjun, Du, Shouchao, Xiong, Wenfeng, Chen, Shiyi, Song, Hui, Chang, Shimin
Format: Article
Language:Chinese
Subjects:
Aged
Bone Nails
Female
Femoral Fractures - surgery
Femur
Fracture Fixation, Intramedullary
Hip Fractures - surgery
Humans
Male
Retrospective Studies
Treatment Outcome
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Summary:To evaluate the effectiveness of proximal femoral nail anti-rotation (PFNA) in treatment of high plane intertrochanteric femur fractures. A retrospective analysis was performed on 33 patients who underwent closed reduction and PFNA fixation for high plane intertrochanteric femur fracture between January 2016 and June 2019. There were 12 males and 21 females with an average age of 75.1 years (mean, 47-89 years). The fractures were caused by falling from height in 21 cases, by traffic accident in 7 cases, and by other injuries in 5 cases. Fractures were classified as type A in 14 cases and type B in 19 cases according to self-defined fracture classification criteria; and as type 31-A1.2 in 14 cases and as type 31-A2.2 in 19 cases according to AO/Orthopedic Trauma Association (AO/OTA) classification criteria. The time from injury to operation was 2-5 days (mean, 2.7 days). The operation time, intraoperative blood loss, hospital stay, fracture reduction quality, fracture healing time, internal fixation failure, a
ISSN:1002-1892
DOI:10.7507/1002-1892.202007114