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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

01.10.2011 | Original Article

The short-term functional and radiological outcome of patients treated with the Synthes proximal femoral nail antirotation (PFNA) for unstable proximal femoral fractures

verfasst von: P. M. Guyver, M. J. H. McCarthy, N. P. M. Jain, J. Keenan

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 7/2011

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Abstract

Between April 2006 and December 2007, 74 patients with unstable proximal femoral fractures were treated with the proximal femoral nail antirotation (PFNA). Follow-up to union was achieved for 55 nails in 52 patients. Fifteen patients (20% of the total) died during the initial 4-month follow-up period. Clinical 4-month follow-up was completed in 83% (45 of 54 patients). Radiological follow-up to union was completed in 96% (52 of 54 patients). The mean age was 78.5 years with 10 males and 44 females. The mean tip apex distance was 22 mm. The mean migration in tip apex distance was 0.8 mm, and no blade cut out was seen. In six patients, the distal locking bolts migrated or became loose. Almost one-third of patients had trochanteric tenderness. The mean visual analogue score (VAS) at follow-up was 3/10. The mobility and social function scores were significantly reduced at follow-up compared to preoperative status (P = 0.001). All domains of short-form 36 (SF36) were low compared to normative data.

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Titel: The short-term functional and radiological outcome of patients treated with the Synthes proximal femoral nail antirotation (PFNA) for unstable proximal femoral fractures
verfasst von: P. M. Guyver
M. J. H. McCarthy
N. P. M. Jain
J. Keenan
Publikationsdatum: 01.10.2011
Verlag: Springer-Verlag
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 7/2011
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-010-0745-y

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