J Korean Hip Soc.  2008 Dec;20(4):286-292. 10.5371/jkhs.2008.20.4.286.

The Results of Proximal Femoral Nail Antirotation: A Comparative Study with Proximal Femoral Nail

• Yoo JH
• Park JS
• Noh KC
• Chung KJ
• Kim HK
• Kang JK
• Hwang JH

• KMID: 2162612
• DOI: http://doi.org/10.5371/jkhs.2008.20.4.286

Abstract

PURPOSE
This study was performed to compare the results between PFNA (Proximal Femoral Nail Antirotation) and PFN (Proximal Femoral Nail) in the treatment of peritrochanteric fracture.
MATERIALS AND METHODS
The patient group with PFNA (n=24, group I) was taken from operations between February, 2007, and March, 2008, whereas the PFN patient group (n=24, group II) were taken from January, 2005, to January, 2007. Both groups were carefully compared with regard to operation time, estimated blood loss, amount of transfusion, ICU care, amount of drainage, average duration of admission, intra- and postoperative complications, radiologic union, Tip Apex Distance (TAD), the change of neck shaft angle, the sliding length of lag screw, Jensen's functional score, and Paker and Palmer's mobility score.
RESULTS
The results of our study showed statistical (P<0.05) advantages of PFNA over PFN where estimated blood loss, amount of drainage, rate of complication, neck and shaft angle, and sliding length were concerned. However, there was no statistical significance between the two groups regarding the other areas that were examined (p>0.05).
CONCLUSION
PFNA appears to be more effective than PFN for the treatment of peritrochanteric fractures of the proximal femur.

Keyword

Peritrochanteric fracture; PFNA (Proximal Femoral Nail Antirotation); PFN (Proximal Femoral Nail)

MeSH Terms

Drainage
Femur
Humans
Nails
Neck