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Results of the proximal femoral nail anti-rotation (PFNA) in elderly Chinese patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pu, Jin-Song Liu, Lei Wang, Guang-Lin Fang, Yue Yang, Tian-Fu
Description	Author Affiliation: Pu JS ( Department of Orthopaedic Surgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang, Chengdu, 610041, Sichuan Province, People's Republic of China.)
Abstract	A prospective study is presented of 87 unstable intertrochanteric fractures treated with the proximal femoral nail anti-rotation (PFNA) with a follow-up of one year. Of the patients 76% were female. The average age was 75.3 years. The fracture was treated by closed reduction and intramedullary fixation. Pre-injury activity level was recovered in 77% of the patients. Fractures united in all patients. Mechanical failure and cut-out were not observed. A technical problem related to the mismatch of the proximal end of the nail was observed in 11 cases. Nine patients presented with thigh pain due to the redundant proximal end of the nail. The results of the PFNA were satisfactory in most elderly Chinese patients. However, the proximal end of the nail was not matched with the specific anatomy of some short elderly patients. Further modifications of the nail are necessary for the elderly Chinese population.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-009-0776-3
Journal	International Orthopaedics
Issue Number	5
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-10-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Femur Surgery Fracture Fixation, Intramedullary Instrumentation Hip Fractures Asian Continental Ancestry Group Bone Nails Adverse Effects Physiopathology Pain, Postoperative Etiology Prospective Studies Radiography Recovery Of Function
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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