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Comparison of efficacies of PFNA and DHS in treatment of intertrochanteric fracture with osteoporosis in senile patients

Li Renjie;Department of Orthopedics, the Second People's Hospital of Meishan City;  
Objective To explore the clinical effects and safety of proximal femoral nail antirotation(PFNA) and dynamic hip screws(DHS) in treatment of intertrochanteric fracture with osteoporosis in the senile patients. Methods A total of 223 senile patients with intertrochanteric fracture with osteoporosis admitted to our department were selected and divided into an experiment group( n=117) and a control group(n=106) according to different operation methods. The experiment group was treated with PFNA surgery and the control group with DHS surgery. The Harris score, operation duration, length of incision, intraoperative amount of bleeding,fracture healing time, the time before walking with load and postoperative complications of the two groups were compared. Results The postoperative good rate(95.73%) of the experiment group was much higher than that of the control group(87.74%)(P 0.05); the length of incision, operation duration, intraoperative amount of bleeding, fracture healing time and the time before walking with load of the experiment group were much shorter or less than those of the control group(P 0.05); the incidence of postoperative complications of the experiment group(8.55%) was much lower than that of the control group(18.87%)(P 0.05). Conclusion Both PFNA and DHS show favorable effects in the treatment of intertrochanteric fracture with osteoporosis in the senile patients. However, PFNA may be preferred clinically due to its minor operative wound, better efficacy, easy postoperative recovery and high safety.
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