ArticlePakistan journal of medical sciences
Comparison of proximal femoral nail antirotation and total hip arthroplasty in the treatment of femoral intertrochanteric fracture.
Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 14 citations in OpenAlex.
- Differential impact of hemiplegia severity stratification on post-hemiarthroplasty dislocation in elderly intertrochanteric fracture patients.American journal of translational research · 2026Article
- Efficacy of acupoint injection of recombinant human erythropoietin in the treatment of postoperative hemorrhagic anemia in elderly patients with femoral intertrochanteric fracture.Pakistan journal of medical sciences · 2025Article
- New proximal femoral nail antirotation in the treatment of elderly intertrochanteric fractures with lateral wall fractures.BMC musculoskeletal disorders · 2025Article
- The positioning of cephalon medullary nailing correlated with hidden blood loss during the perioperative period in patients with intertrochanteric fractures: A retrospective study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Predicting the perioperative transfusion risk of proximal femoral antirotation nailing (PFNA) for elderly patients with intertrochanteric fractures: a new predictive nomogram.Biomedical engineering online · 2025Article
- Clinical efficacy and psychological influence of lateral rectus approach for treating pelvic fracture with lumbosacral plexus injury.World journal of psychiatry · 2025Article
- Effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing after joint replacement.Pakistan journal of medical sciences · 2025Article
- The impact of staged rehabilitation guidance based on symptom management theory on functional rehabilitation and quality of life of elderly patients undergoing hip replacement surgery.Pakistan journal of medical sciences · 2025Article
- Efficacy of supra-inguinal fascia iliaca compartment block in proximal femoral nail antirotation internal fixation for patients with intertrochanteric fractures.Pakistan journal of medical sciences · 2025Article
- Risk factors and nomogram predictive model of severe postoperative complications in elderly patients with intertrochanteric fractures.Pakistan journal of medical sciences · 2024Article
- Risk factors for excessive lateral migration of the blade in proximal femoral nail anti-rotation in elderly patients with intertrochanteric femur fracture.American journal of translational research · 2024Article
- Comparison of the therapeutic efficacy of hip arthroplasty and proximal femoral nail antirotation internal fixation for unstable intertrochanteric femur fractures.American journal of translational research · 2024Article
- Comparison of proximal femoral nail antirotation internal fixation and artificial hip replacement for elderly patients with intertrochanteric fractures.American journal of translational research · 2024Article
- Clinical application of upper limb fracture fixator in emergency treatment of upper limb fracture.Pakistan journal of medical sciencesArticle
- Comparison of InterTAN and PFNA internal fixation for elderly patients with intertrochanteric fracture: A retrospective cohort study.Pakistan journal of medical sciencesArticle
- Effect of fascia iliaca compartment block combined with ropivacaine on post-operative outcomes in elderly patients undergoing hip fracture repair.Pakistan journal of medical sciencesArticle
- Comparison of clinical effects of two surgical approaches in the treatment of acetabular fractures.Pakistan journal of medical sciencesArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To investigate the effects of proximal femoral nail antirotation (PFNA) and total hip arthroplasty for the treatment of femoral intertrochanteric fractures. Methods: Clinical data from 110 femoral intertrochanteric fracture patients treated at our hospital between January 2019 and July 2020 were analyzed retrospectively. Patients were divided into two groups based on the type of surgical intervention used. One group included patients (n= 59) who had undergone PFNA internal fixation and another group (n=51) included patients who had undergone total hip arthroplasty. Perioperative situation, joint function progression, and complication incidence were assessed. Results: Total hip arthroplasty group was associated with longer operation durations, longer incisions, and more intraoperative blood loss than PFNA group (P<0.05). Joint function and pain scores in the total hip arthroplasty group were superior than PFNA group (P<0.05). The Harris score of total hip arthroplasty group was significantly higher than that of PFNA group at three, six and 12 months after operation (P<0.05). The rate of complications in patients after total hip arthroplasty was lower than that of PFNA group (P<0.05) within 12 months of the surgery. Conclusion: PFNA and total hip arthroplasty can both achieve good results for treatment of femoral intertrochanteric fractures. PFNA offers less trauma and shorter operations, while total hip arthroplasty offers advantages in terms of more rapid limb function improvements and shorter rehabilitation processes. The two kinds of surgery have advantages, and the clinical needs to have a careful look at various factors and choose the appropriate operation method.
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