Volume 22 Issue 2
Feb.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(2): 240-243
GUO Yue, YAN Jun, HA Chengzhi, YANG Hongpeng. Curative effect of cement-enhanced PFNA on the elderly with osteoporotic intertrochanteric fracture[J]. Chinese Journal of General Practice, 2024, 22(2): 240-243. doi: 10.16766/j.cnki.issn.1674-4152.003374
Citation: GUO Yue, YAN Jun, HA Chengzhi, YANG Hongpeng. Curative effect of cement-enhanced PFNA on the elderly with osteoporotic intertrochanteric fracture[J]. Chinese Journal of General Practice, 2024, 22(2): 240-243. doi: 10.16766/j.cnki.issn.1674-4152.003374
shu

Curative effect of cement-enhanced PFNA on the elderly with osteoporotic intertrochanteric fracture

doi: 10.16766/j.cnki.issn.1674-4152.003374

  • Orthopedics Department, Liaocheng People's Hospital, Liaocheng, Shandong 252000, China

Funds:

 ZR2021MH248

  • Received Date: 2023-05-22
    Available Online: 2024-03-27
    Abstract
  •   Objective  To observe the effect and postoperative recovery of cement-enhanced proximal femoral nail anti-rotation (PFNA) in the treatment of the elderly with osteoporotic intertrochanteric fractures, and to evaluate the application effect of PFNA.  Methods  A total of 80 elderly patients with osteoporotic intertrochanteric fractures admitted to Liaocheng People's Hospital were enrolled from January 2020 to January 2022. According to the random grouping method, they were divided into the PFNA group (traditional PFNA, n=40) and the cement-enhanced group (cement-enhanced PFNA, n=40). The clinical data of patients were collected. Twelve months after surgery, the Harris score was measured, and the occurrence of complications was recorded.  Results  There was no significant difference in intraoperative relevant indexes between the two groups (P>0.05). The leaving bedtime, weight-bearing time, and fracture healing time in the cement-enhanced group were (5.08±0.96) d, (3.14±0.38) weeks and (12.33±1.29) weeks, which were significantly shorter than those in PFNA group [(7.37±1.01) d, (4.92±0.56) weeks, (17.64±1.75) weeks, P < 0.05]. Twelve months after surgery, there was no significant difference in hip Harris scores (pain, function, limb deformity) between the two groups (P>0.05), but the hip Harris score (range of motion) in the cement-enhanced group was significantly higher than that in the PFNA group [(4.93±0.58) points vs. (4.61±0.52) points, P < 0.05]. The incidence of complications in the cement-enhanced group was significantly lower than that in the PFNA group (P < 0.05).  Conclusion  Cement-enhanced PFNA is an ideal operation in the treatment of the elderly with osteoporotic intertrochanteric fracture, with high safety and stability. It can realize early weight-bearing rehabilitation training and is beneficial to recover joint function.

     

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