Key result
Proximal femoral nail antirotation II yielded similar 1-year functional outcomes compared to bipolar hemiarthroplasty (Harris hip score 85.68 vs 84.08; P=0.69).
Why the study?
Managing intertrochanteric fractures in elderly patients requires promoting early mobility while preventing complications and morbidity.
Does PFNA-II improve functional outcomes and reduce complications compared to cemented bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures?
Population
Elderly patients with unstable intertrochanteric fractures, with 25 patients in the PFNA-II and HA groups
Comparison
PFNA-II vs bipolar hemiarthroplasty
Design
Comparative study
Follow-up
Up to 1 year
Authors
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PFNA-II may lower perioperative morbidity and complications versus HA in elderly ITFs; leaves open long-term choice pending RCTs.
Observational (n=25)
Does PFNA-II improve functional outcomes and reduce complications compared to cemented bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures?
Absolute Event Rate: 85.68% vs 84.08%
p-value: p=0.69
PFNA-II reduces surgical time and complications, while cemented HA provides better early functional outcomes but similar 1-year outcomes for unstable intertrochanteric fractures in the elderly.
Rastogi et al. (2025) conducted an observational in Unstable intertrochanteric fractures (n=25). Proximal femoral nail antirotation II (PFNA-II) vs. Cemented bipolar hemiarthroplasty (HA) was evaluated on Harris hip score at 1 year (p=0.69). Proximal femoral nail antirotation II yielded similar 1-year functional outcomes compared to bipolar hemiarthroplasty (Harris hip score 85.68 vs 84.08; P=0.69).
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