Open AccessArthroplasty vs proximal femoral nails for unstable intertrochanteric femoral fractures in elderly patients: a systematic review and meta-analysis
Author(s) -
Wen-Huan Chen,
Wei Guo,
Sujun Gao,
Qiu-Shi Wei,
Ziqi Li,
Wei He
Publication year - 2021
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v9.i32.9878
Subject(s) - medicine , nonunion , harris hip score , meta analysis , confidence interval , surgery , inclusion and exclusion criteria , cochrane library , arthroplasty , total hip arthroplasty , randomized controlled trial , intertrochanteric fracture , femur , alternative medicine , pathology
Proximal femoral nails (PFNs) are the most common method for the treatment of unstable intertrochanteric femoral fractures (IFFs), but postoperative bed rest is required. There is a large amount of blood loss during the operation. Osteoporosis in elderly patients may cause nonunion of fractures and other complications. Arthroplasty can give patients early weight bearing and reduce financial burden, but whether it can replace PFNs remains controversial.