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RESULT OF SURGERY TREATMENT OF UNSTABLE INTERTROCHANTERIC FEMUR FRACTURE IN ELDERLY BY PROXIMAL FEMORAL NAIL ANTIROTATION (PFNA) WITH MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS
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Abstract
Background: Unstable intertrochateric femur fractures in elderly are common due to fall and osteoporosis… Many surgical procedures have been used to treat these fractures including reduction and osteosynthesis using DHS, AO plate, gamma nail and hemi prosthesis…However, unstable intertrochanteric femur fracture in the elderly with general status and osteoporosis, the technique of minimally invasive with proximal femoral nail antirotation (PFNA) is a means of fixing with positive results: Biological, minimal soft tissue compromise and devascularization, reducing risks of infection and nonunion and early function recovery. Objectives: To evaluate the results of bone healing and rehabilitation, investigate complications. Materials and method: A prospective study on 37 patient’s unstable intertrochanteric femur fracture in elderly from April 2020 to April 2023 at Sai Gon - ITO Phu Nhuan hospital, Ho Chi Minh City. Results: The mean follow up period was 14.2 months (range, 12 - 27). Excellent and good results were accounted for 80.6% of cases according to Harris hip score. Conclusion: We recommend PFNA for fixation of unstable intertrochanteric fractures with less operative time and low complication rate.
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Keywords
Intertrochanteric femur fracture, technique of minimally invasive, proximal femoral nail antirotation (PFNA)
References
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