Therapeutic Effect Of Artificial Femoral Head Replacement And PFNA Internal Fixation On The Treatment Of Intertrochanteric Fracture Of The Elderly

Purpose：To compare the results and complications of hemiarthroplasty andproximal femoral nail anti-rotation(PFNA) in the treatment of femoralintertrochanteric fractures for senile patients.Methods: All of54senile patients with femoral intertrochanteric fractureswere divided into two groups.28patients were treated with proximal femoral nailanti-rotation internal fixation(group A),26patients were treated withhemiarthroplasty(group B).Resu1ts:54patients were followed up for7to13months,an average of10.6months. The operative time of group A is shorter than that in group B, the averageamount of blooding is less than that in group B (P<0.05); hospital stays andthe time of completely loaded in group B are shorter than them in group A(P<0.05).There were no significant difference in comparison of complicationsand the Harris hip score at three months after surgery(P>0.05).Conclusion：Hemiarthroplasty and PFNA in treating intertrochantericfractures have their own advantages and disadvantages, we should choose theappropriate method based on the individual characteristics of the patients.