The Clinical Results of the Osteosynthesis of Unstable Femoral Trochanteric Fractures with PFNA

  • Okuda Kazuhiro
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Nagano Hiroshi
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Honda Toru
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Ohtsuka Kazutoshi
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Touno Midori
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Sasaki Kazuhiro
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Matsumoto Toshiyuki
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital
  • Nishiyama Takeshi
    Department of Orthopaedic Surgery Kagawa Prefectural Central Hospital

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Other Title
  • 不安定型大腿骨転子部骨折に対するPFNAの治療成績

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Description

This study evaluates the clinical results of osteosynthesis on femoral trochanteric fractures. Sixteen cases (5 men, 11 women, mean age 84.9 years) were treated with proximal femoral nail antirotation (PFNA) from May 2005 to March 2006. The mean period from injury to surgery was 4.3 days (range 0 to 8 days) and the mean follow-up period was 5.2 months (range 3 to 13 months). Using the AO classification, two fractures were classified as 31-A1 and 14 fractures as 31-A2. All cases resulted in bone union. There were no postoperative incidents of varus deformity, neck rotation, infection or severe impairment of walking ability. We conclude that the proximal femoral nail antirotation produces very satisfying results for internal fixation of unstable femoral trochanteric fractures.

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