Analysis Of Artificial Femoral Head Replacement And PFNA For Treatment Of Femoral Intertrochanteric Fractures In The Elderly Patients

Objective:To observe the effect of artificial femoral head replacement and proximal femoral nail anti rotation(PFNA)in the treatment of femoral intertrochanteric fracture in elderly patients and to analyze the effect.Methods:52 cases of elderly patients from 2010 January to 2012 December in hospital with treatment of the fracture,the artificial femoral head replacement(group A)24 cases,internal fixation with PFNA(B group)28 cases.The mean follow-up time was 16 months.Compared two groups in operation time,blood loss in operation,postoperative adverse events,Harris score difference.Results In B group,operation time,operation blood loss was significantly lower than that in A group(P&It;0.05);Compared two groups in postoperative adverse events,the difference was significant(P&It;0.05);Harris scores of the two groups had no significant difference in 3 months after operation(P>0.05),the difference was significant in 6 month,12 months(P&It;0.05).Conclusion:PFNA was an effective method in treatment of intertrochanteric fracture in aged patients.The short operation time,less blood loss,postoperative adverse events,good functional recovery,curative effect was positive,showed that PFNA was a batter method in the treatment of senile femoral intertrochanteric fracture of elderly patients.