Objective: to study the effect of interfemoral fracture (Intertrochanteric Femoral Fracture, IFF). Methods: according to 36 IFF patients with different surgical procedures, 36 patients were divided into control group ...Objective: to study the effect of interfemoral fracture (Intertrochanteric Femoral Fracture, IFF). Methods: according to 36 IFF patients with different surgical procedures, 36 patients were divided into control group (36 patients, Intertan internal fixation method) and observation group (36 patients, PFNA internal fixation method) to analyze the treatment effect retrospectively. Results: (1) intraoperative bleeding (130.85 ± 19.72) ml less than control group (167.54 ± 26.31) ml;operation time (0.84 ± 0.16) h shorter than control operation time (1.16 ± 0.21) h;implantation time (34.72 ± 4.69) d longer than implantation time (11.54 ± 2.38) d.Two groups showed significant differences (P <0.05).(2) The Harris score of 1 week and 1 month was (58.49 ± 6.73) and (71.84 ± 6.94), respectively, higher than that of the control group. Two groups varied significantly (P <0.05).(3) 28 cases (77.78%) were higher than 19 cases in the control group (52.78%).Two groups showed significant differences (P <0.05).The clinical effect was not significant at 12 months (P> 0.05).(4) Three total complications (8.33%) were less than 4 complications in the control group (11.11%).2 Groups showed no significant difference (P> 0.05). Conclusion: PFNA in IFF patients with shorter bleeding, shorter operation time, better joint function recovery within 1 month and high safety.展开更多
文摘Objective: to study the effect of interfemoral fracture (Intertrochanteric Femoral Fracture, IFF). Methods: according to 36 IFF patients with different surgical procedures, 36 patients were divided into control group (36 patients, Intertan internal fixation method) and observation group (36 patients, PFNA internal fixation method) to analyze the treatment effect retrospectively. Results: (1) intraoperative bleeding (130.85 ± 19.72) ml less than control group (167.54 ± 26.31) ml;operation time (0.84 ± 0.16) h shorter than control operation time (1.16 ± 0.21) h;implantation time (34.72 ± 4.69) d longer than implantation time (11.54 ± 2.38) d.Two groups showed significant differences (P <0.05).(2) The Harris score of 1 week and 1 month was (58.49 ± 6.73) and (71.84 ± 6.94), respectively, higher than that of the control group. Two groups varied significantly (P <0.05).(3) 28 cases (77.78%) were higher than 19 cases in the control group (52.78%).Two groups showed significant differences (P <0.05).The clinical effect was not significant at 12 months (P> 0.05).(4) Three total complications (8.33%) were less than 4 complications in the control group (11.11%).2 Groups showed no significant difference (P> 0.05). Conclusion: PFNA in IFF patients with shorter bleeding, shorter operation time, better joint function recovery within 1 month and high safety.
