ArticleJournal of orthopaedic surgery and research2014
Clinical evaluation of the Asian proximal femur intramedullary nail antirotation system (PFNA-II) for treatment of intertrochanteric fractures.
Article in Journal of orthopaedic surgery and research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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19 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Comparative effectiveness research on proximal femoral nail versus dynamic hip screw in patients with trochanteric fractures: a systematic review and meta-analysis of randomized trials.Journal of orthopaedic surgery and research · 2022Pooled it
- Impact of limited intramedullary reaming versus unreamed technique in short proximal femoral nail anti-rotation for intertrochanteric fractures: a matched retrospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- The Functional Outcome of Proximal Femoral Nail Antirotation-2 (PFNA-2) in Peritrochanteric Fractures of the Femur.Cureus · 2024Article
- Article
- Proximal Femoral Plate, Intramedullary Nail Fixation Versus Hip Arthroplasty for Unstable Intertrochanteric Femoral Fracture in the Elderly: A Meta-analysis.Indian journal of orthopaedics · 2022Article
- Article
- Which implant is better for beginners to learn to treat geriatric intertrochanteric femur fractures: A randomised controlled trial of surgeons, metalwork, and patients.Journal of orthopaedic translation · 2020Article
- Computer-assisted preoperative planning improves the learning curve of PFNA-II in the treatment of intertrochanteric femoral fractures.BMC musculoskeletal disorders · 2020Article
- Comparison of radiological and functional outcome of unstable intertrochanteric femur fractures treated using PFN and PFNA-2 in patients with osteoporosis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- [Evolving concept in treatment of intertrochanteric fractures and development of internal fixation devices].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Article
- Comparison of efficacy, complications and TGF-β2 expression between DHS and PFNA in elderly patients with osteoporotic femoral intertrochanteric fracture.Experimental and therapeutic medicine · 2018Article
- Optimizing stability in AO/OTA 31-A2 intertrochanteric fracture fixation in older patients with osteoporosis.The Journal of international medical research · 2018Article
- A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation in the treatment of intertrochanteric fractures in elderly patients with osteoporosis: a minimum follow-up of 3 years.Journal of orthopaedic surgery and research · 2017Article
- Application of 3D printing rapid prototyping-assisted percutaneous fixation in the treatment of intertrochanteric fracture.Experimental and therapeutic medicine · 2017Article
- INTERTAN nail versus proximal femoral nail antirotation-Asia for intertrochanteric femur fractures in elderly patients with primary osteoporosis.The Journal of international medical research · 2017Article
- Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report.International journal of surgery case reports · 2017Article
- Proximal femoral nails anti-rotation versus dynamic hip screws for treatment of stable intertrochanteric femur fractures: an outcome analyses with a minimum 4 years of follow-up.BMC musculoskeletal disorders · 2016Article
- Comparing the Intramedullary Nailing Method Versus Dynamic Hip Screw in Treatment of Unstable Intertrochanteric Fractures.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2016Article
- A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation-Asia in the treatment of unstable intertrochanteric femur fractures in the elderly.Journal of orthopaedic surgery and research · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe preferred treatment of intertrochanteric fractures in aged patients is controversial. The purpose of the present study was to evaluate the outcomes of the Asian proximal femur intramedullary nail antirotation system (PFNA-II) for stabilization of such fractures.
methodsThe PFNA-II was used to treat intertrochanteric fractures in 163 elderly patients from March 2010 to March 2013. The patients comprised 69 men and 94 women with a mean age of 74.7 ± 13.0 years. All fractures were classified by the Orthopaedic Trauma Association classification system; 53, 83, and 27 fractures were classified as 31A1, 31A2, and 31A3, respectively. We statistically evaluated the intraoperative blood loss, operation time, incision length, X-ray exposure time, and postoperative outcomes. Patients were followed up for a mean of 15.2 months (range, 10-24 months). Functional outcomes were assessed according to the Harris hip scoring system.
resultsStatistical analysis revealed an average operation time of 45.7 min (range, 35-110 min), average intraoperative blood loss of 115.2 mL (range, 65-430 mL), X-ray exposure time of 2.7 ± 1.4 s (range, 2-6 s), and total incision length of 6.5 ± 2.2 cm (range, 5.5-13.0 cm). Patients were followed up for a mean of 14.5 months (range, 10-24 months). The neck shaft angle was 134° ± 15° (range, 115°-150°), and the fracture healing time was 14.0 ± 2.5 weeks (range, 11-19 weeks). The Harris hip score was 85.6 ± 17.5 points (range, 65-100 points) and included 41 excellent cases (25.15%), 92 good cases (56.44%), 26 moderate cases (15.95%), and 4 poor cases (2.45%) for a positive outcome rate of 81.60%. There were no varus hip deformities, screw cutouts, or femoral shaft fractures. Fourteen patients had thigh pain (9.82%), and five had inner thigh pain (3.07%); seven had more severe pain that was improved by physical therapy.
conclusionPFNA-II has the advantages of a simple operation, few complications, and clinical efficacy for the treatment of intertrochanteric fractures. However, evaluation of its long-term efficacy and risk of other complications requires a large-sample, multicenter observational study.
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