Evidence map›Paper›PMID 30996369›Full record

ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2019

[Comparison of the effects of two cephalomedullary nails (zimmer natural nail and proximal femoral nail antirotation) in treatment of elderly intertrochan teric fractures].

J Chen, C H Zuo, C Y Zhang, M Yang, P X Zhang

Abstract readComparative Study
In one paragraph

Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

J ChenDepartment of Orthopaedics, People's Hospital of Xuancheng City, Xuancheng 242000, Anhui, China.
C H ZuoDepartment of Orthopaedics, People's Hospital of Xuancheng City, Xuancheng 242000, Anhui, China.
C Y ZhangDepartment of Orthopaedics, People's Hospital of Xuancheng City, Xuancheng 242000, Anhui, China.
M YangDepartment of Traumatology and Orthopaedics, Peking University People's Hospital, Beijing 100044, China.
P X ZhangDepartment of Traumatology and Orthopaedics, Peking University People's Hospital, Beijing 100044, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the effect of cephalomedullary nails for elderly intertrochanteric fractures: proximal femoral nail antirotation (PFNA) versus zimmer natural nail (ZNN) to provide the data support for clinical perioperative management.

methodsA retrospective study was used to analyze the clinical data of elderly intertrochanteric fractures cases which were treated with PFNA or ZNN fixation from May 2016 to May 2017. In the study, 59 cases were followed up completely, in which 28 cases accepted PFNA, and the other 31 cases accepted ZNN. The operation time, amount of bleeding, fracture healing time, postoperative complication, postoperative radiographic measurement (tip apex distance, TAD) and the last follow-up of hip function score were analyzed.

resultsThe patients were followed up for 6 to 19 months, with an average (10.8±4.0) months. In PFNA group, the operation time was (62.7±14.2) min, the amount of bleeding was (56.8±20.6) mL, the fracture healing time was (4.6±0.8) months, the postoperative complication was 3.6%, the TAD was (17.7±5.5) mm, and the last follow-up hip function score was 91.8±3.6. In ZNN group, the operation time was (73.6±18.3) min, the amount of bleeding was (68.7±31.6) mL, the fracture healing time was (4.5±0.7) months, the postoperative complication was 3.2%, the TAD was (16.5±4.7) mm, and the last follow-up hip function score was 92.2±3.8. The two groups of comparative experiments were carried out, the operation time of the PFNA group was less than that of the ZNN group (P<0.05). There was no significant difference in the amount of bleeding, fracture healing time, postoperative complication, TAD, postoperative hip score between the two groups (P>0.05).

conclusionAlthough group ZNN had significant longer operation time than group PFNA, both implants were useful tools in the treatment of elderly intertrochanteric fractures. The operation of PFNA was simpler,while the design of the anterior bow of ZNN might be more suitable for the patients with a large femoral anterior bow.

Indexed as

Femoral FracturesFracture Fixation, IntramedullaryHip FracturesAgedBone NailsEthylene GlycolsHumansRetrospective StudiesTreatment OutcomeEthylene Glycolsterics

Identifiers

PMID30996369
PMCPMC7441191

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.