Clinical Research
Locking plate and PFNA in the treatment of senile patients with osteoporotic femoral intertrochanteric fracture
Chen Junze, Wu Xin, Li Wenwu, Wu Jing, Li Sui’ou
Published 2020-02-15
Cite as IMHGN, 2020,26(04): 545-548. DOI: 10.3760/cma.j.issn.1007-1245.2020.04.032
Abstract
ObjectiveTo evaluate the clinical efficacy of locking plate and PFNA in the treatment of senile patients with osteoporotic intertrochanteric fracture.
MethodsFrom January, 2015 to January, 2018, 112 elderly patients with osteoporotic intertrochanteric fracture of femur were retrospectively analyzed. 57 patients were treated with proximal femoral locking plate (group A), and 55 with PFNA (group B). There were 33 males and 24 females as well as 27 type Ⅱ and 30 type Ⅲ of Jensen classification in group A; they were (66.4±4.1) years old. There were 30 males and 25 females as well as 24 type Ⅱ and 31 type Ⅲ of Jensen classification in group B; they were (67.7±3.8) years old. The follow-up time after operation was (16.5±1.4) months. The operation time, the bleeding volume, drainage volume, fracture healing, Harris score, bone mineral density, and incidence of complications were compared between these two groups.
ResultsAll the 112 cases were followed up. There were no statistical differences in gender, age, Jensen classification, and time from injury to operation between the two groups (all P>0.05). The operation time was longer and the bleeding and drainage volumes were less in group A than in group B (all P<0.05). Group B could obtain early functional exercise and better early fracture healing rate than group A (both P<0.05). There were no statistical differences in fracture healing rate and incidences of complications 12 months in after the operation as well as Harris score between these two groups (all P>0.05). The bone mineral density was better after than before the operation in both groups (both P<0.05). There were no statistical differences in the bone mineral density before and after the operation between the two groups (both P>0.05). Bone healing was achieved in the patients with screw fracture and fracture displacement after revision.
ConclusionsPFNA for senile patients with osteoporotic intertrochanteric fracture of femur has the advantages of short operation time, less bleeding volume, and high early bone healing rate.
Key words:
Osteoporosis; Femur; Intertrochanteric fracture; Locking plate; PFNA
Contributor Information
Chen Junze
Department of Orthopaedics, Baiyun District People's Hospital, Guangzhou 510000, China
Wu Xin
Department of Orthopaedics, Baiyun District People's Hospital, Guangzhou 510000, China
Li Wenwu
Department of Orthopaedics, Baiyun District People's Hospital, Guangzhou 510000, China
Wu Jing
Department of Orthopaedics, Baiyun District People's Hospital, Guangzhou 510000, China
Li Sui’ou
Department of Orthopaedics, Baiyun District People's Hospital, Guangzhou 510000, China
