Assessment of Functional Outcome of Intertrochanteric Fractures Treated by PFN A2 in Elderly Patients in a Tertiary Care Hospital
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Abstract
Background: The Proximal Femoral Nail Antirotation (PFNA2) surgical implant has been developed as an efficient internal fixation device for treating intertrochanteric fractures. This study aims to evaluate the functional outcomes of geriatric patients with intertrochanteric fractures treated with the PFNA2, focusing on pain alleviation and hip function recovery.
Materials and Methods: This was a single-center, observational, prospective study conducted at a tertiary care hospital. A total of 100 patients with intertrochanteric fractures were included. Patients treated with PFNA2 were followed up for 6 months. The functional outcomes were measured using the Visual Analogue Scale (VAS) for pain and the Harris Hip Score (HHS) for hip function.
Results: The average age of the 100 patients was 66.47 ± 6.66 years. The majority of patients in this study had A2-type fractures, as classified by the AO/OTA system. Both the VAS for pain and the HHS for hip function showed significant improvement between the pre-operative and 6-month post-operative assessments.
Conclusion: The Proximal Femoral Nail A2 is an excellent treatment option for elderly patients with intertrochanteric fractures, providing significant improvements in pain relief and functional outcomes.
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Chen PH, Wu CC, Chen WJ. Factors affecting the stability of intertrochanteric fractures when elderly patients fall. Biomed J. 2016;39(1):67-71.
Kannus P, Parkkari J, Sievanen H, Heinonen A, Vuori I, Jarvinen M. Epidemiology of hip fractures. Bone. 1996;18:57S-63S.
Koval KJ, Zuckerman JD. Hip fractures are an increasingly public health problem. Clin Orthop Relat Res. 1998;348:2.
Karakus O, Ozdemir G, Karaca S, Cetin M, Saygi B. The relationship between the type of unstable intertrochanteric femur fracture and mobility in the elderly. J Orthop Surg Res. 2018;13(1):207.
Laros GS, Moore JF. Complications of fixation in intertrochanteric fractures. Clin Orthop. 1994;101:110.
Jensen J, Steen T, Tondevold E, Sonne-Holm S. Unstable trochanteric fractures. A comparative analysis of four methods of internal fixation. Acta Orthop Scand. 1980;51:949-962.
Kumar CN, Srivastava PK. Screw versus helical proximal femoral nail in the treatment of unstable trochanteric fractures in the elderly. J Clin Orthop Trauma. 2019;10(4):779-784.
Li J, Cheng L, Jing J. The Asia proximal femoral nail antirotation versus the standard proximal femoral antirotation nail for unstable intertrochanteric fractures in elderly Chinese patients. Orthop Traumatol Surg Res. 2015;101(2):143-146.
Liu Y, Tao R, Liu F, Wang Y. Mid-term outcomes after intramedullary fixation of peritrochanteric femoral fractures using the new proximal femoral nail antirotation (PFNA). Injury. 2010;41(8):810-817.
Jones HW, Johnston P, Parker M. Are short femoral nails superior to the sliding hip screw? A meta-analysis of 24 studies involving 3,279 fractures. Int Orthop. 2006 Apr;30(2):69-78.
Vochteloo A. The new proximal femoral nail antirotation (PFNA®) in daily practice: Results of a multicentre clinical study. Injury. 2008;39(3):331-337.
Mehmet FK, Mehmet NE, Zeliha Disli, Engin BS. Outcomes of trochanteric femoral fractures treated with proximal femoral nail: An analysis of 100 consecutive cases. Clin Interv Aging. 2014;569-574.
Jang JM, Choi HS, Lee JS, Jeong KY, Hong HP, Ko SH. Femoral intertrochanteric fractures of the patients in emergency department due to minor falls; Special consideration in the middle-old to oldest-old patients. Ann Geriatr Med Res. 2019;23(3):125-130.
Radaideh AM, Qudah HA, Audat ZA, Jahmani RA, Yousef IR, Saleh AAA. Functional and radiological results of Proximal Femoral Nail Antirotation (PFNA) osteosynthesis in the treatment of unstable pertrochanteric fractures. J Clin Med. 2018;7(4):78.
Lv C, Fang Y, Liu L, Wang G, Yang T, Zhang H, Song Y. The new proximal femoral nail antirotation-Asia: early results. Orthopedics. 2011;34(5):351-355.
Jonnes C, Shishir SM, Najimudeen S. Type 2 intertrochanteric fractures: Proximal femoral nailing versus dynamic hip screw (DHS). Arch Bone Jt Surg. 2016;4(1):23-26.
Sadic S, Custovic S, Jasarevic M, Fazlic M, Krupic F. Proximal Femoral Nail Antirotation in treatment of intertrochanteric hip fractures: A retrospective study in 113 patients. Med Arch. 2015;69(6):352-356.
Xianshang Z, Nan Z, Dan Z, Lili Z, et al. Proximal Femoral Nail Antirotation versus Dynamic Hip Screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients. J Int Med Res. 2017;45(3):1109-1123.
Zorik A, Timothy S, Lawrence L, Nigel H. Dynamic Hip Screws versus proximal Femoral Nails for intertrochanteric fractures. ANZ J Surg. 2012;82(1-2):56-59.
Maa KL, Wang X, Luan FJ, Xu HT, Fang Y, et al. Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur: A meta-analysis. Orthop Traumatol Surg Res. 2014;100(8):859-866.