Evaluation Of Therapeutic Results Of Hip Arthroplasty And Proximal Femoral Nail Antirotation For Elderly Instable Femoral Intertrochanteric Fractures

Objective：To compare the therapeutic results of hip arthroplasty and proximalfemoral nail antirotation (PFNA)for elderly instable femoral intertrochanteric fractures．Methods：A number of43cases with femoral intertrochanteric fracture(EVANS-Ⅲorabove,age75years old or above) were retrospectively analyzed.43cases according tosurgical methods were used to PFNA treatment (PFNA group，n=26)and FHR (FHRgroup，n=17)。Observed and compared the operation duration，intraoperative blood loss，postoperative bed time，hip function and early complication between two groups．Results：43cases of patients were had9to24months follow up，The operationduration，intraoperative blood loss of arthroplasty group was higher than that of the PFNAgroup(P<0.05). And the postoperative bed time，hip function and early complication ofarthroplasty group was lower than that of the PFNA group(P<0.05).．The difference in hipfunction and complication after fractures healing between the groups was not significant.Conclusion：Hip replacement in treating intertrochanteric fractures in senile patientsshows a limited bleeding and operating time consumption．Can reduce the time in bed andearly ambulation。the treatment of femoral intertrochanteric fracture in elderly patients withhip prosthetic replacement was safely and effectively...