| Objective: patients with unstable intertrochanteric fractures usually require surg-ical treatment,this paper aims to use Meta-analysis method to comprehensive eval-uate on of proximal femoral nail antirotation(PFNA)and himiarthroplasty(HA)on unstable osteoporotic intertrochanteric fracture evaluation of surgical treatment.Method: computer matching Wanfang data library,Whipple database,China knowledge network,Pubmed,Embase and other database-related literature,retrieved January 2017 deadline for literature,language is not limited.Search keywords: intertrochanteri-c fracture and intertrochanteric fractures,osteoporosis,antirotation-type intramedulla-ry nail of proximal femur(PFNA),himiarthroplasty.Meta analysis is Rev Man5.35.Results: participants included 9 randomized controlled trials,a total of 969 cases o-f unstable anginain patients with osteoporotic femoral intertrochanteric fra-cture,PF-NA 493 cases,HA 476 cases.Meta analysis of results showed that com-pared wit-h the HA,PFNA shorter operation time[SMD=-1.03,95%CI(-1.91,-0.15),P=0.02],less operative blood loss[SMD=-3.81,95%CI(-6.79,-1.83),P<0.05],lower postoperati-ve mortality rate[RR=0.57,95%CI(0.40,0.82),P=0.003],there are significant differe-nces And hospital stay,postoperative complications,postoperative hip functional scoresand good rates showed no significant difference(P>0.05).Conclusion: not stable type bone loose sex femoral rough long between fracture PFNA in surgery time,andoperation in the blood volume and mortality aspects are is better than HA;two species surgery way in hospital time,and postoperation complications,and operation trouble hip Harris function score and hip function excellent rate no differences;P FNA has surgery time short,and surgery trauma small,and blood volume less andpostoperation patients health 1 years above death rate low advantages,for not stabl-e type bone loose sex femoral rough long between fracturepatients is a reasonable of select. |
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