{"title":"一项比较股骨近端髓内钉与股骨近端髓内钉反旋转治疗不稳定股骨粗隆间骨折疗效的随机试验。","authors":"Vinay Prabhat, Thanchuingam Jingua, Govind Kumar Gupta, Rohit Topno, Sabyasachi Kundu, Abhishek Guria","doi":"10.4103/aam.aam_144_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Proximal Femoral Nailing (PFN) and Proximal Femoral Nailing Anti-rotation (PFNA 2) are both intra-medullary implants having 6 degrees of proximal valgus angulation. The helical blade compact the cancellous bone in femoral head when it is driven inside.</p><p><strong>Aims and objectives: </strong>The aim of our study is to compare radiological and functional outcome and superiority over other in management of unstable intertrochanteric fracture by PFN and PFNA 2.</p><p><strong>Materials and methods: </strong>The study was conducted from October 2021 to September 2022 which included 76 patients of unstable intertrochanteric fractures of femur.</p><p><strong>Results: </strong>In PFN group, Harris hip score was Excellent in 23 cases (60.52%), Good in 12 cases (31.57%), Fair in 2 cases (5.26%) and poor in1 case (2.63%). In PFNA 2 group, Harris hip score was excellent in 24cases (63.15%), Good in13 cases (34.21 %), Fair in 1 case (2.63%) and Poor in none of the cases.</p><p><strong>Conclusion: </strong>PFNA 2 significantly reduces the operative time and blood loss compared to PFN. However Both PFN and PFNA 2 implants offers no statistically significant advantages over each other in terms of fracture unions, functional and radiological outcomes, post-operative complications and recovery outcomes.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":"621-627"},"PeriodicalIF":0.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380163/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Randomized Trial Comparing the Outcome of Proximal Femoral Nailing and Proximal Femoral Nailing Antirotation 2 for Unstable Intertrochanteric Femur Fracture.\",\"authors\":\"Vinay Prabhat, Thanchuingam Jingua, Govind Kumar Gupta, Rohit Topno, Sabyasachi Kundu, Abhishek Guria\",\"doi\":\"10.4103/aam.aam_144_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Proximal Femoral Nailing (PFN) and Proximal Femoral Nailing Anti-rotation (PFNA 2) are both intra-medullary implants having 6 degrees of proximal valgus angulation. The helical blade compact the cancellous bone in femoral head when it is driven inside.</p><p><strong>Aims and objectives: </strong>The aim of our study is to compare radiological and functional outcome and superiority over other in management of unstable intertrochanteric fracture by PFN and PFNA 2.</p><p><strong>Materials and methods: </strong>The study was conducted from October 2021 to September 2022 which included 76 patients of unstable intertrochanteric fractures of femur.</p><p><strong>Results: </strong>In PFN group, Harris hip score was Excellent in 23 cases (60.52%), Good in 12 cases (31.57%), Fair in 2 cases (5.26%) and poor in1 case (2.63%). In PFNA 2 group, Harris hip score was excellent in 24cases (63.15%), Good in13 cases (34.21 %), Fair in 1 case (2.63%) and Poor in none of the cases.</p><p><strong>Conclusion: </strong>PFNA 2 significantly reduces the operative time and blood loss compared to PFN. However Both PFN and PFNA 2 implants offers no statistically significant advantages over each other in terms of fracture unions, functional and radiological outcomes, post-operative complications and recovery outcomes.</p>\",\"PeriodicalId\":7938,\"journal\":{\"name\":\"Annals of African Medicine\",\"volume\":\" \",\"pages\":\"621-627\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380163/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of African Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/aam.aam_144_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of African Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/aam.aam_144_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
A Randomized Trial Comparing the Outcome of Proximal Femoral Nailing and Proximal Femoral Nailing Antirotation 2 for Unstable Intertrochanteric Femur Fracture.
Background: Proximal Femoral Nailing (PFN) and Proximal Femoral Nailing Anti-rotation (PFNA 2) are both intra-medullary implants having 6 degrees of proximal valgus angulation. The helical blade compact the cancellous bone in femoral head when it is driven inside.
Aims and objectives: The aim of our study is to compare radiological and functional outcome and superiority over other in management of unstable intertrochanteric fracture by PFN and PFNA 2.
Materials and methods: The study was conducted from October 2021 to September 2022 which included 76 patients of unstable intertrochanteric fractures of femur.
Results: In PFN group, Harris hip score was Excellent in 23 cases (60.52%), Good in 12 cases (31.57%), Fair in 2 cases (5.26%) and poor in1 case (2.63%). In PFNA 2 group, Harris hip score was excellent in 24cases (63.15%), Good in13 cases (34.21 %), Fair in 1 case (2.63%) and Poor in none of the cases.
Conclusion: PFNA 2 significantly reduces the operative time and blood loss compared to PFN. However Both PFN and PFNA 2 implants offers no statistically significant advantages over each other in terms of fracture unions, functional and radiological outcomes, post-operative complications and recovery outcomes.
期刊介绍：
The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
