Clinical study of PFN fixation and hemiarthroplasty in the treatment of intertrochanteric femoral fractures in elder patients

Objective To evaluate and compare the therapeutic efficacy of PFN fixation and hemiarthroplasty in the treatment of elderly patients with intertrochanteric fracture.Methods 66 patients were divided into PFN fixation group(group A) and the hemiarthroplasty group(group B) and conventional surgical approach were adopted in both groups.Surgical time,blood loss,hospital costs,weight-bearing ambulation after surgery,hip function and complications were observed.Results Surgical treatment was successful in all the 66 cases of intertrochanteric fractures patients.There was no significant difference of complication between the two groups(P 0.05).There were significantly less operative time,more blood loss and hospital costs in group B,and time before weight-bearing ambulation after surgery was significantly shorter in group B(all P 0.01).Postoperative Harris hip score of group B was better than that of group A(P 0.05).Conclusion Two surgical procedures are effective to some degree,and strict control of surgical indications,contraindications and operating skills is critical.