Compare Efficacy And Safety Among Proximal Femoral Nail Anti-rotation(PFNA),Hip Semiarthroplasty (HAP) And Proximal Femoral Locking Compression Plate (PF-LCP) For Elderly Patients With Treatment Of Unstable Intertrochanteric Fractures

Objective: To compare efficacy and safety among proximal femoral nail anti-rotation(PFNA),hip semiarthroplasty(HAP)and proximal femoral locking compression plate(PF-LCP)for elderly patients with Treatment of unstable intertrochanteric fractures.Methods: 136 patients with intertrochanteric fracture were divided into three groups(proximal femoral nail anti-rotation(PFNA)group,hip semiarthroplasty(HAP)and proximal femoral locking compression plate(PF-LCP)group)depending on surgical approaches from March 2011 to August 2016.Surgical indicators(operative time,blood loss,length of incision)were observed.Besides,other posteroperative indicators,such as postoperative weight-bearing time,fracture healing time,hip score and postoperative complications were compared among three groups.Results: Operative time,blood loss,length of incision of patients in PFNA group were superior to those of patients in PF-LCP group and the differences were all statistically significant(P <0.05);Load days,fracture healing time of patients in PFNA group were better than those of patients in PF-LCP group and also the differences were statistically significant(P <0.05);Patients in PFNA group achieved higher postoperative Harris score than the PF-LCP group.Conclusion: For senile unstable intertrochanteric fracture,PFNA is more effective in achieving clinical outcome and reducing postoperative complications and it is worthy of clinical application and promotional use.