Key result
Proximal femoral nail (PFN) significantly reduced surgery duration (60.4 vs 94.6 minutes) and blood transfusion rates compared to cementless bipolar hip arthroplasty (BHA) in elderly patients with intertrochanteric femur fractures.
Why the study?
The study was conducted to compare postoperative complications, reoperation rates, implant-related issues, and functional outcomes between cementless bipolar hip arthroplasty and proximal femoral nail in geriatric patients with intertrochanteric femur fractures.
Does proximal femoral nail (PFN) improve outcomes compared to cementless bipolar hip arthroplasty (BHA) in elderly patients with intertrochanteric femoral fractures?
Population
76 individuals with femoral shaft fractures
Comparison
Cementless BHA vs PFN
Design
Prospective study
Follow-up
18.6 months overall
Authors
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PFN may shorten surgery and cut transfusions in geriatric intertrochanteric fractures; leaves open superiority over cementless BHA.
Cohort (n=76)
No
Does proximal femoral nail (PFN) improve outcomes compared to cementless bipolar hip arthroplasty (BHA) in elderly patients with intertrochanteric femoral fractures?
Absolute Event Rate: 60.4% vs 94.6%
p-value: p=<0.05
In elderly patients with intertrochanteric femoral fractures, proximal femoral nail (PFN) offers advantages over cementless bipolar hip arthroplasty (BHA) in terms of shorter surgery duration and reduced need for blood transfusions.
Mohanty et al. (2024) conducted a cohort in Unstable intertrochanteric femoral fractures (n=76). Proximal femoral nail (PFN) vs. Cementless bipolar hip arthroplasty (BHA) was evaluated on Duration of surgery (minutes) (p=<0.05). Proximal femoral nail (PFN) significantly reduced surgery duration (60.4 vs 94.6 minutes) and blood transfusion rates compared to cementless bipolar hip arthroplasty (BHA) in elderly patients with intertrochanteric femur fractures.
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