Key result
PFNA and hemiarthroplasty showed no significant difference in 1-year functional outcomes for elderly patients with unstable intertrochanteric fractures (Harris Hip Score 79.24 vs 78.11, p=0.487).
Why the study?
The study was designed to assess primary and secondary outcomes among patients treated with PFNA compared to hemiarthroplasty.
Does PFNA improve outcomes compared to hemiarthroplasty in elderly patients with senile intertrochanteric fractures?
RCT (n=40)
Prospective randomized
No
Does PFNA improve outcomes compared to hemiarthroplasty in elderly patients with senile intertrochanteric fractures?
PFNA may be a better option than hemiarthroplasty for elderly patients with intertrochanteric fractures due to reduced surgical time, blood loss, and hospital stay.
Answers are grounded in this paper and cite their sources.
PFNA reduces blood loss, surgery time, and stay versus hemiarthroplasty; supports its use in eligible fractures and extends small-RCT perioperative data.
Aim: assessment of primary and secondary outcome among patients treated with PFNA and hemiarthroplasty. Materials and Methods: 20 patients each were included in PFNA group and hemiarthroplasty Patient followed. Patients were evaluated with multiple variables, complications and Harris hip score. The statistical test applied for the independent sample analysis was student t-test using SPSS version 20. Results: PFNA groups had significantly less blood loss, less surgery time, less hospital stay as compared to hemiarthroplasty group. There were no significant differences between the two groups regarding to the Harris Hip Score. Conclusion: From the present investigation it seems that intertrochanteric fractures treated with PFNA may achieve better functional results than treated with hemiarthroplasty. It can definitely be a better option than replacement in elderly intertrochanteric fracture.
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Kanhaiya Lal Gupta (2020) conducted an RCT in Unstable intertrochanteric fractures (n=40). PFNA (Proximal Femoral Nail Anti-Rotation) vs. Hemiarthroplasty was evaluated on Harris Hip Score at 1 year (p=0.487). PFNA and hemiarthroplasty showed no significant difference in 1-year functional outcomes for elderly patients with unstable intertrochanteric fractures (Harris Hip Score 79.24 vs 78.11, p=0.487).
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