Why the study?
Postoperative outcomes in elderly patients with intertrochanteric fracture are generally poor, but whether PFNA with cement augmentation improves functional recovery in high-surgical-risk patients remained uncertain.
Does PFNA with cement augmentation improve return to prefracture ambulatory level in high surgical risk elderly patients with intertrochanteric fractures?
Population
135 high-surgical-risk elderly patients with intertrochanteric fractures and independent prefracture ambulation
Comparison
PFNA with cement augmentation vs PFNA without cement augmentation
Design
Retrospective consecutive series
Follow-up
1-year
Authors
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May support return to prefracture ambulation in high-risk elderly; leaves open confirmation by randomized trials.
Does PFNA with cement augmentation improve return to prefracture ambulatory level in high surgical risk elderly patients with intertrochanteric fractures?
In high-surgical-risk elderly patients with intertrochanteric fractures, PFNA with cement augmentation significantly improves the likelihood of returning to prefracture ambulatory levels compared to PFNA alone.
Kulachote et al. (2020) studied this question.
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