Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures
Randomized trial compared functional outcomes and complications in unstable intertrochanteric fractures, suggesting PFNA-II may offer intraoperative benefits.
Key Points
PFNA-II showed shorter operative times averaging 65.5 minutes versus 71.5 minutes for TFN, indicating efficiency in surgery.
Operative blood loss was less in the PFNA-II group at 253 mL compared to 275 mL in the TFN group, showing improved safety during surgery.
Functional outcomes measured by Harris Hip Scores favored PFNA-II with a mean of 67.83, while TFN's mean was 71.72, though not statistically significant.
Both implants were effective in treating unstable intertrochanteric fractures, but PFNA-II exhibited trends toward better outcomes and fewer complications.