Proximal femoral nail anti-rotation (PFNA) to treat peritrochanteric fractures in elderly patients
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Levent Karapinar · Mert Kumbaraci · Ahmet Kaya ·Ahmet Imerci · Mustafa Incesu
- چاپ و سال / کشور: 2011
Description
The treatment of peritrochanteric fractures in elderly patients with osteoporosis due to the diYculty of obtaining and maintaining stable Wxation. Although many implants have been developed to solve this problem, the choice of implant has been controversial. We present 71 consecutive peritrochanteric fractures treated with proximal femoral nail anti-rotation (PFNA). The average age of the patients was 80.75 § 6.42 (71–96) years. The fractures were closely reduced and Wxed with PFNA. All of the fractures healed in an average of 14 weeks. The mean operation time was 44.68 § 8.44 (30–73) minutes, and the mean blood loss was 126.77 § 49.04 (50–300) ml. One patient was reoperated because of a poor blade position. In three patients, a lateral cortex fracture was observed, and, in one patient, a greater trochanter fracture was observed. At the time of the Wnal follow-up, 78.7% of the patients returned to their pre-injury activity levels. PFNA might be one treatment choice to solve the mechanical problems associated with these fractures because of its improved Wxation strength, simpler technique, shorter operation time and reduced blood loss
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-011-0810-1 Received: 22 November 2010 / Accepted: 22 April 2011
