Results of Treating Senile Osteoporotic Peritrochanteric Fracture with Proximal Femoral Nail Antirotation (PFNA)
Journal of the Korean Hip Society
;
: 162-168, 2009.
Article
in Korean
| WPRIM
| ID: wpr-727247
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the results of treating senile osteoporotic peritrochanteric fracture with proximal femoral nail antirotation (PFNA). MATERIALS ANDMETHODS:
Between November 2006 and December 2007, 21 patients older than 65 years of age with intertrochanteric and subtrochanteric fractures were treated with PFNA. The mean duration of follow-up was 12.9 months and the mean age was 74.5 years.RESULTS:
The mean operation time was 48.8 minutes (range 25-90 minutes). The time to ambulation averaged 7.9 days. Eighty point nine percent (17 cases) of the patients returned to their previous walking status at 6 months after operation. The average T-score was -3.3. Eighteen cases (85.7%) achieved acceptable reduction and the mean time to radiologic bony union was 17.4 weeks. The average amount of PFNA blade sliding was 4 mm and the neck-shaft angle was changed to 1.3 degrees varus displacement at the final follow-up. The complications included pulmonary edema in 1 case and protrusion of the PFNA blade into the hip joint in 1 case.CONCLUSION:
Because of the reduced operation time, favorable walking ability and low rate of complications, PFNA is an acceptable alternative for fixation of senile osteoporotic peritrochanteric fracture.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteoporosis
/
Pulmonary Edema
/
Follow-Up Studies
/
Walking
/
Displacement, Psychological
/
Femur
/
Hip Fractures
/
Hip Joint
/
Nails
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Hip Society
Year:
2009
Type:
Article
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