| Objective To investigate the clinical efficacy of PFNA internal fixation in the treatment of refractory intertrochanteric fractures of the femur.Methods A total of 34 elderly patients with refractory intertrochanteric fracture of femur hospitalized in Hunan Xiangxi Autonomous Prefecture People's Hospital from May 2017 to May 2021 were selected, including 19 cases in the anterolateral small incision group of hip (PFNA internal fixation with anterolateral minimally invasive incision of hip was performed in this group) and 15 cases in the conventional lateral large incision group (conventional large lateral incision PFNA internal fixation was performed in this group). The operation time, incision length, intraoperative bleeding, early ambulation time, postoperative pain score and other related data of the two groups were compared.Results All the patients were followed up for 6-10 months, with an average of (8.12±1.64) months. The operation time, intraoperative bleeding, incision length, early ambulation time, postoperative pain score of patients in the anterolateral small incision group of hip were better than those in the conventional large incision group, and the difference between the two groups was statistically significant (P<0.05).Conclusion For the elderly patients with refractory intertrochanteric fractures, PFNA with anterolateral minimally invasive hip incision can achieve good results in the treatment of refractory intertrochanteric fractures. This treatment method has less intraoperative bleeding, less surgical trauma, low postoperative pain, early postoperative ambulation, and greatly improved safety. |
