Key result
Proximal femoral nail antirotation shows no benefit over cemented calcar-replacement hemiarthroplasty for complications and survival.
Why the study?
The study was conducted to compare perioperative complications and overall survival between proximal femoral nail antirotation and cemented calcar-replacement hemiarthroplasty for unstable intertrochanteric fracture in patients aged 75 years and older.
Does proximal femoral nail antirotation compared to cemented calcar-replacement hemiarthroplasty improve overall survival and reduce perioperative complications in patients aged 75 years and older with unstable intertrochanteric femur fractures?
Cohort (n=94)
Does proximal femoral nail antirotation compared to cemented calcar-replacement hemiarthroplasty improve overall survival and reduce perioperative complications in patients aged 75 years and older with unstable intertrochanteric femur fractures?
Both PFNA and CCRH are viable surgical options with comparable survival and perioperative complication rates for unstable intertrochanteric femur fractures in the elderly.
Answers are grounded in this paper and cite their sources.
Supports either PFNA or CCRH given comparable outcomes in elderly patients; leaves open need for randomized trials to confirm.
Background/aim: The aim of this study is to compare the perioperative complications and overall survival of patients who underwent proximal femoral nail antirotation (PFNA) and patients who underwent cemented calcar-replacement hemiarthroplasty (CCRH) for unstable intertrochanteric fracture in patients aged 75 years and older. Materials and methods: A total of 94 patients who underwent PFNA or CCRH between 2010 and 2012 because of femur fracture (A2.2 and A2.3 according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification) were analyzed retrospectively. Hospitalization times, blood transfusion needs, reoperation rates, and overall survival were compared. Results: Forty-eight patients in the PFNA group and 46 patients in the CCRH group were included for analysis. There was no statistically significant difference between the two groups in terms of hospitalization times, blood transfusion needs, reoperation rates, and survival rates. Conclusions: Both PFNA and CCRH techniques can be used for surgical treatment of unstable intertrochanteric femur fractures.
No takes yet. Share an insight, caveat, or question.
DURGUT et al. (2022) conducted a cohort in unstable intertrochanteric fracture (n=94). Proximal femoral nail antirotation (PFNA) vs. Cemented calcar-replacement hemiarthroplasty (CCRH) was evaluated on Hospitalization times, blood transfusion needs, reoperation rates, and overall survival. Proximal femoral nail antirotation (n=48) showed no statistically significant difference compared to cemented calcar-replacement hemiarthroplasty (n=46) in complications and overall survival.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: