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The Clinical Study on the Treatment of Intertrochanteric Fracture by Proximal Femoral Nail Anti-rotation (PFNA) and Anatomical Locking Plate

Author: ZuoKai
Tutor: MengKai
School: Shandong University of Traditional Chinese Medicine
Course: TCM orthopedics and traumatology
Keywords: Proximal Femoral Nail Anti-rotation (PFNA) Proximal Femoral Anatomical Locking Plate Intertroehanteric fracture Clinical study
CLC: R687.3
Type: Master's thesis
Year: 2011
Downloads: 46
Quote: 0
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Abstract


Objective: Through collecting the cases of intertrochanteric fracture treated by Proximal Femoral Nail Anti-rotation (PFNA) and proximal femur anatomical locking plate, analyze and evaluate its clinical efficacy in the future, to provide the basis for deeper study, and summarize the clinical experience in the treatment of intertrochanteric fracture.Methods: In this study, 40 cases of patients with intertrochanteric fracture are collected, 20 cases are PFNA method of treatment, 20 cases of proximal femoral anatomical locking plate for treatment. Observing in the patients with operation time, incision length, blood loss, postoperative complications, postoperative ambulation time indicators, and follow-up time of fracture healing in patients, the results are statistically analyzed to assess the therapeutic effect of PFNA and proximal femur anatomical locking plate.Results: Clinical observation on 40 patients and follow-up, through statistical analysis, the differences between PFNA group and anatomical locking plate group in blood loss, operation duration, postoperative ambulation, complications and the hip joint function are statistically significant (P <0.05); the differences in fracture healing time are not so significant (P> 0.05), so the operation with PFNA is more convenient, less blood loss, less postoperative ambulation, less complications and better functional recovery of hip joint after operation , and more in line with the principles of biological fixation.Conclusion: This study suggests that PFNA is appropriate for the treatment of intertrochanteric fracture of various types, especially for the elderly with osteoporosis and unstable intertrochanteric fractures, and it is an ideal method in the treatment of intertroehanteric fracture, worthy of clinical application.

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
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