Key result
Proximal femoral nail shows no mortality benefit over hemiarthroplasty but is linked to shorter operations.
Why the study?
Proximal femoral nail and hemiarthroplasty are frequently used for intertrochanteric femur fractures, but the priority surgical treatment in patients over 80 years old remains to be determined.
Does proximal femoral nail (PFNA) improve outcomes compared to hemiarthroplasty in patients over 80 years old with intertrochanteric fractures?
Cohort (n=120)
No
Does proximal femoral nail (PFNA) improve outcomes compared to hemiarthroplasty in patients over 80 years old with intertrochanteric fractures?
Absolute Event Rate: 35.1% vs 41.9%
p-value: p=0.589
In elderly patients over 80 with intertrochanteric fractures, PFNA provides similar 1-year clinical and functional outcomes to hemiarthroplasty but requires significantly less operative time.
No abstract yet. The journal hasn't published one we can show.
No takes yet. Share an insight, caveat, or question.
Şişman et al. (2021) conducted a cohort in Intertrochanteric femur fractures (n=120). Proximal femoral nail (PFNA) vs. Hemiarthroplasty was evaluated on Mortality in the first year (p=0.589). Proximal femoral nail showed no significant difference in first-year mortality compared to hemiarthroplasty (35.1% vs 41.9%, p=0.589) in patients over 80 with intertrochanteric fractures, but significantly reduced operation time.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: