Evaluating the Impacts of Proximal Femoral Nail Anti-Rotation (PFNA) Augmentation in Osteoporotic Intertrochanteric Fractures

Abstract

Surgical interventions are crucial for managing osteoporotic intertrochanteric fractures. Among these interventions, Proximal Femoral Nail Antirotation (PFNA) is preferred due to its advantages in reducing blood loss and surgical duration. This research study examined proximal femoral nail anti-rotation’s clinical and radiological outcomes with augmentation in osteoporotic intertrochanteric fractures. The surgical approach encompassed 50 patients with osteoporotic intertrochanteric fractures treated between November 2012 and April 2014. The surgeries were performed in a supine position on a traction radiolucent table with general, regional, or spinal anesthesia. The incision and nail-blade angle were carefully selected, and postoperative outcomes, including range of motion, infection rates, and complications, were assessed. Results showed a 96% success rate with PFNA, with most patients regaining pre-surgery range of motion within six weeks. Fracture healing was effective in 94% of cases within six months, although some required revision surgery or experienced mechanical failure. Postoperative complications, including superficial infections and nonunion, were observed in a small percentage of cases. In conclusion, PFNA with augmentation is viable for treating osteoporotic intertrochanteric fractures, offering good clinical outcomes and a low complication rate. However, careful patient selection and surgical techniques are essential to minimize risks and ensure optimal results.