Abstract：Objective To compare the clinic effects of proximal femoral nail antirotation(PFNA) and dynamic hip screw(DHS) on senile femoral intertrochanteric fractures.Methods Fifty-one elderly patients with femoral intertrochanteric fractures were assigned to receive either PFNA(group PFNA,n=21) or DHS(group DHS,n=30) for internal fixation.Operation time,intraoperative blood loss and postoperative complications were compared between the two groups.Results Compared with DHS,PFNA significantly decreased operation time,intraoperative blood loss and incidence of complications [(52±11.90) minutes vs(75±23.40) minutes,(150±50)mL vs(450±60)mL,and 4.76% vs 23.33%,respectively;P<0.05],but obviously increased excellent and good rate(95.24% vs 76.67%,P<0.05).Conclusion The PFNA is superior to DHS for treating senile femoral intertrochanteric fractures.
2012, Vol. 52 
