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《Orthopaedics》 2012-01
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Treatment of senile osteoporotic femoral intertrochanteric fracture with proximal femoral nail anti-rotation

Ma Xiang-yang,Huang Yong-gang,Diao Zhen-hong,et al.Department of Orthopedics,Jiangsu Haimen People's Hospital,Haimen 226100,China  
Objective To evaluate the clinical effects in the treatment of senile osteoporotic femoral intertrochanteric fracture with proximal femoral nail anti-rotation(PFNA).Methods Thirty-six cases over 75 years old with senile osteoporotic intertrochanteric fractures were treated with PFNA.All cases underwent closed reduction.The PFNA was implanted through a mini-incision without exposure of the fracture section during the operation,while focusing on perioperative management and treatment for osteoporosis.Results Thirty-six cases were followed up from 9 to 24 months(mean 12 months).One case of 90 years old patient died of cerebral infarction after 9 months,and the remaining 35 fractures healed without infection,nonunion,varus,fixation failure and other complications occurred.According to Harris criterion,the function of hip joint was excellent in 28 cases,good in 4 cases,and fair in 3 cases,with the excellent and good rate being 91.4%.Conclusion PFNA can provide a good fixation and a minimal invasion for the senile patients with osteoporotic femoral intertrochanteric fractures and provide good clinical outcome.
【CateGory Index】: R687.3
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