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April 12, 2018Journal of Clinical MedicineOpen Access

Functional and Radiological Results of Proximal Femoral Nail Antirotation (PFNA) Osteosynthesis in the Treatment of Unstable Pertrochanteric Fractures

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Key result

Treatment of unstable pertrochanteric fractures with the Proximal Femoral Nail Antirotation (PFNA) achieved a 100% solid union rate and a mean Harris Hip Score of 79.34 at a mean follow-up of 18 months.

Why the study?

Does proximal femur nail antirotation (PFNA) provide satisfactory functional and radiological outcomes in patients with unstable pertrochanteric fractures?

Population

50 patients with unstable pertrochanteric fractures, mean age 72.8 years

Design

Cohort

Follow-up

mean 18 months (range, 11-31)

Authors

ARAhmad RadaidehSaint Michael's Medical CenterHQHashem QudahZAZiad AudatJordan University of Science and Technology

Discussion

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Overview

PFNA achieves union without implant complications in unstable pertrochanteric fractures; leaves open comparative efficacy versus other devices.

Study Design

Type

Observational (n=50)

Multicenter

No

Structured PICO

Does proximal femur nail antirotation (PFNA) provide satisfactory functional and radiological outcomes in patients with unstable pertrochanteric fractures?

P
Population
50 patients (mean age 72.8 years, 44% female) with unstable pertrochanteric fractures treated with the proximal femoral nail antirotation (PFNA), followed for a mean of 18.1 months.
I
Intervention
Proximal femur nail antirotation (PFNA) osteosynthesis (41 short PFNA, 9 long PFNA)
O
Outcome
Radiographic and functional outcomes (solid union, Harris Hip Score, neck-shaft angle)surrogate

PFNA is an effective treatment for unstable pertrochanteric fractures, providing solid union and satisfactory functional outcomes without implant-related complications.

Limitations

  • Retrospective study design
  • No control group

Cite This Study

Radaideh et al. (2018) conducted an observational in Unstable pertrochanteric fractures (n=50). Proximal Femoral Nail Antirotation (PFNA) was evaluated on Mean Harris Hip Score (HHS) at final follow-up. Treatment of unstable pertrochanteric fractures with the Proximal Femoral Nail Antirotation (PFNA) achieved a 100% solid union rate and a mean Harris Hip Score of 79.34 at a mean follow-up of 18 months.

synapsesocial.com/papers/6ab60f7936086f271b4c4dd8https://doi.org/10.3390/jcm7040078
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Laboratory Model to Evaluate Cutout Resistance of Implants for Pertrochanteric Fracture Fixation2004 · 253 citations
  2. 2Reverse Obliquity Fractures of the Intertrochanteric Region of the Femur2001 · 389 citations
  3. 3Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures1969 · 5,714 citations
  4. 4A Comparison of the Proximal Femoral Nail Antirotation Device and Dynamic Hip Screw in the Treatment of Unstable Pertrochanteric Fracture2010 · 144 citations