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Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients

OBJECTIVE: To evaluate long-term radiographic and functional outcomes between dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures (IFFs) among elderly patients METHODS: A retrospective comparative...

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Autores principales: Zeng, Xianshang, Zhang, Nan, Zeng, Dan, Zhang, Lili, Xu, Ping, Cao, Lei, Yu, Weiguang, Zhan, Ke, Zhang, Xinchao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536426/
https://www.ncbi.nlm.nih.gov/pubmed/28417681
http://dx.doi.org/10.1177/0300060517703277
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author Zeng, Xianshang
Zhang, Nan
Zeng, Dan
Zhang, Lili
Xu, Ping
Cao, Lei
Yu, Weiguang
Zhan, Ke
Zhang, Xinchao
author_facet Zeng, Xianshang
Zhang, Nan
Zeng, Dan
Zhang, Lili
Xu, Ping
Cao, Lei
Yu, Weiguang
Zhan, Ke
Zhang, Xinchao
author_sort Zeng, Xianshang
collection PubMed
description OBJECTIVE: To evaluate long-term radiographic and functional outcomes between dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures (IFFs) among elderly patients METHODS: A retrospective comparative study was carried out. Follow-up was performed at 1, 3, 6, 9, and 12 months postoperatively and yearly thereafter. The primary outcome was the radiographic outcome, and the secondary outcome was the functional outcome. RESULTS: A significant difference in radiographic complications was observed between the DHS group (n = 45, 40.2%) and PFNA group (n = 15, 13.6%). The risk of femoral shaft fracture after implant removal at the 1-year follow-up was increased by 0.9% (n = 1) and 6.3% (n = 7) in the PFNA and DHS groups, respectively. This difference persisted with rates of 3.6% (n = 4) and 12.5% (n = 14) at the final follow-up. Additionally, significant differences were present in the Harris hip score at each visit. CONCLUSION: Our results indicate that PFNA yields better outcomes than DHS fixation among elderly patients with osteoporotic type 31-A1 IFFs.
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spelling pubmed-55364262017-10-03 Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients Zeng, Xianshang Zhang, Nan Zeng, Dan Zhang, Lili Xu, Ping Cao, Lei Yu, Weiguang Zhan, Ke Zhang, Xinchao J Int Med Res Clinical Reports OBJECTIVE: To evaluate long-term radiographic and functional outcomes between dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures (IFFs) among elderly patients METHODS: A retrospective comparative study was carried out. Follow-up was performed at 1, 3, 6, 9, and 12 months postoperatively and yearly thereafter. The primary outcome was the radiographic outcome, and the secondary outcome was the functional outcome. RESULTS: A significant difference in radiographic complications was observed between the DHS group (n = 45, 40.2%) and PFNA group (n = 15, 13.6%). The risk of femoral shaft fracture after implant removal at the 1-year follow-up was increased by 0.9% (n = 1) and 6.3% (n = 7) in the PFNA and DHS groups, respectively. This difference persisted with rates of 3.6% (n = 4) and 12.5% (n = 14) at the final follow-up. Additionally, significant differences were present in the Harris hip score at each visit. CONCLUSION: Our results indicate that PFNA yields better outcomes than DHS fixation among elderly patients with osteoporotic type 31-A1 IFFs. SAGE Publications 2017-04-18 2017-06 /pmc/articles/PMC5536426/ /pubmed/28417681 http://dx.doi.org/10.1177/0300060517703277 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Clinical Reports
Zeng, Xianshang
Zhang, Nan
Zeng, Dan
Zhang, Lili
Xu, Ping
Cao, Lei
Yu, Weiguang
Zhan, Ke
Zhang, Xinchao
Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients
title Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients
title_full Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients
title_fullStr Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients
title_full_unstemmed Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients
title_short Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients
title_sort proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-a1 intertrochanteric femoral fractures in elderly patients
topic Clinical Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536426/
https://www.ncbi.nlm.nih.gov/pubmed/28417681
http://dx.doi.org/10.1177/0300060517703277
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