Abstract：Objective To analyze the clinical effect of proximal femoral nail（PFNA）and plate fixation in the treatment of intertrochanteric fracture. Methods 86 patients with intertrochanteric fracture in our hospital from October 2017 to May 2019 were selected and randomly divided into PFNA group（n=43）and plate fixation group（n=43）.The plate fixation group was treated with plate fixation,and the PFNA group was treated with PFNA internal fixation.The perioperative conditions,incidence of complications and Harris hip function scale（Harris）scores before operation,6 months after operation and 12 months after operation were compared between the two groups. Results Compared with plate fixation group,PFNA group had less intraoperative blood loss,shorter operation time,hospitalization time and fracture healing time（P<0.05）;Harris score of PFNA group was higher than that of plate fixation group at 6 months and 12 months after operation（P<0.05）;the incidence of complications in PFNA group was 2.33%（1/43）and that of plate fixation group was 11.63%（5/43）,with no significant difference（P>0.05）. Conclusion The use of PFNA internal fixation for patients with intertrochanteric fractures of the femur can improve the perioperative condition,accelerate the fracture prognosis and functional recovery process,and has safety.
2021, Vol. 41 
