Comparison of Supine Position and Traction Table in the Surgical Treatment of Unstable Intertrochanteric Fractures with PFNA

Authors : Özgür AVCİ, Ömer POLAT

Pages : 561-565

Doi:10.16899/jcm.1290485

View : 61 | Download : 62

Publication Date : 2023-05-31

Article Type : Research Paper

Abstract :Aim: Intertrochanteric femur fractures insert ignore into journalissuearticles values(IFF); are a major cause of morbidity and mortality in the elderly population. Proximal femoral nail-anti-rotation insert ignore into journalissuearticles values(PFNA); is one of the most preferred surgical treatment methods. This study aimed to compare the clinical and radiologic results of two different patient positions used during PFNA and to reveal the intraoperative advantages and disadvantages. Material and Method: Cases operated due to IFF between January 2020 and December 2022 were retrospectively analyzed. The study was conducted with 123 patients meeting the inclusion criteria. The minimum follow-up period was determined as one year. Two groups were formed: those operated on the traction table insert ignore into journalissuearticles values(opereted-TT); and those operated in supine lithotomy without traction table insert ignore into journalissuearticles values(operated-SP);. The groups were compared regarding operative time, reduction quality, type-apex distance insert ignore into journalissuearticles values(calTAD);, and radiologic and clinical results. Results: There were 76 patients in the operated-TT group and 47 in the operated-SP group. The mean age of the operated-TT group was 81.00±8.52 years, and the mean age of the operated-SP group was 79.30±8.12 years. insert ignore into journalissuearticles values(p=0.213); Gender, follow-up time, time from trauma to surgery, and fracture classification were similar for the groups. The mean operative time was 95.18±8.54 minutes in the operated-TT group and 88.23±7.12 minutes in the operated-SP group, and the operation was completed in a shorter time in the operated-SP group. insert ignore into journalissuearticles values(p=0.001); There were no differences between the groups in terms of reduction quality, calTAD, Harris Hip Score, VAS score, infection rates, and cut-out rates. Conclusion: Based on this study, the radiologic and clinical results of the cases operated with manual traction in the supine position and those operated using a traction table in treating IFF with PFNA are similar. In addition, it was concluded that shorter operation time was an advantage of the operated-SP group.
Keywords : İntertrokanterik kırık, proksimal femoral çivi anti rotasyon, pozisyon

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