WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Azaat Almohammad, Maen Saad and Sami Barhoum*

ABSTRACT

Background: The treatment for unstable intertrochanteric fractures in the elderly has always been controversial issue. The aim in this study was to compare the curative effects of proximal femoral nail (PFN) and cemented bipolar hemiarthroplasty (CPH) on femoral interthrocantric fracture in the elderly. Aim: Assessment of primary and secondary outcomes among patients treated with PFN and hemiarthroplasty. Materials and Methods: Overall, 73 patients underwent CPH or PFN from January 2019 to May2021. IFF were classified according to AO/OTA classification. The difference in Harris scores, surgical time, intraoperative bleeding, Blood transfusion, postoperative time to partial and full weight bearing, Postoperative length of stay in hospital, mortality and Postoperative complications were analyzed. Results and Discussion: The bleeding volume, Blood transfusion in PFN Group are all significantly lower than those in CPH Group, while the partial and full weight-bearing activity time of CPH Group are all significantly higher than those in PFN Group. The Harris score in patients of CPH Group at 3, 6, and 12 months postoperative are all significantly higher than those in patients of PFN Group, Furthermore,. There were no significantly difference in mortality and incidence of postoperative complications between PFN and CPH Groups, although mechanical complications were more frequent in the nailing group (2.9% versus 10.2%). Conclusion: PFN and CPH have good therapeutic effects in the treatment of IFF. The advantages of CPH were Reflected in short-term weight bearing, faster recovery from stress, and better joint function in the long term. Therefore, we suggest that surgeons should consider the benefit of CPH in the treatment of IFF among the elderly.

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