Early Clinical Efficacy Of Proximal Femoral Nail Antirotation (PFNA)and Femoral Head Replacement (FHR) Treatment On Senile Intertrochanteric Fractures

Objective:To analyze the early clinical efficacy of proximal femoral nail antirotation(PFNA)fixation and femoral head replacement(FHR)treatments on senile intertrochanteric fractures.Methods:Totally 45 patients were included to perform a contrastive study and randomly divided into two groups to receive proximal femoral nail antirotation(PFNA)fixation and femoral head replacement(FHR)treatments.The study involved analysis of the operation time,intraoperative blood loss,and hemoglobin reduction on the first and seventh postoperative day compared with preoperative levels,hospital stay,time from surgery to mobilization,Harris hip scores and Barthel index six months after operation,and complications postoperative meanwhile were evaluated respectively among the two groups.Results:The Harris hip score and Barthel index and time from surgery to mobilization after FHR treatment were superior to PFNA fixation treatment,but the former had more blood loss and transfusion,and greater hemoglobin reduction on the first day postoperative.The hospital stay after PFNA fixation was longer compared with the FHR treatment.The complications postoperative were equal between the two groups.Conclusions:FHR treatment is safe and effective for senile intertrochanteric fractures,especially in the case of patients with osteoporosis.They can gain faster recovery of independent function and improve quality of life.