|
|
Journal of Research in Orthopedic Science، جلد ۱۰، شماره ۲، صفحات ۰-۰
|
|
|
| عنوان فارسی |
|
|
| چکیده فارسی مقاله |
|
|
| کلیدواژه‌های فارسی مقاله |
|
|
| عنوان انگلیسی |
Comparison in Efficacy and Adverse Effects of Dynamic Hip Screw and Proximal Femoral Nail Anti-Rotation in the Treatment of A2-Type Intertrochanteric Fractures; A Randomized Clinical Trials |
|
| چکیده انگلیسی مقاله |
Background: Dynamic Hip Screw (DHS) and Proximal Femoral Nail Antirotation (PFNA) are two commonly used surgical interventions for A2-type fractures. However, it is important to conduct a thorough comparative analysis of their efficacy and complications to make informed decisions in clinical practice.
Aim: This randomized clinical trial aimed to compare the efficacy and adverse outcomes of DHS and PFNA in the treatment of type A2 intertrochanteric fractures. The purpose of this study was to evaluate clinical and radiographic outcomes, as well as treatment results in both groups during a 6-month follow-up period.
Methods: A total of 112 eligible patients were randomly assigned to either the DHS or PFNA group in a 1:1 ratio. Surgical interventions were performed accordingly, and patients were followed up for six months. Demographic factors, clinical and radiographic outcomes, bleeding during surgery, duration of surgery, duration of hospitalization, and rates of non-:union: and thromboembolic events were compared between the PFNA and DHS groups.
Results: The PFNA group exhibited significantly lower bleeding volume during operation (234.21 vs. 305.38 deciliter, P<0.001) and a shorter operative duration (129 minutes vs. 177 minutes, P<0.001) compared to the DHS group. There were no significant differences in hospitalization duration, non-:union: rates, or post-surgical thromboembolic events between the two groups.
Conclusion: In terms of operative duration and intraoperative bleeding volume, the PFNA approach demonstrated superiority. Therefore, the PFNA method may be preferred, especially for older patients with comorbidities. |
|
| کلیدواژه‌های انگلیسی مقاله |
Intertrochanteric fracture, Dynamic Hip Screw, DHS, Proximal Femoral Nail Antirotation, PFNA, RCT |
|
| نویسندگان مقاله |
| Mohammad Reza Bahaeddini
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedics Hospital, Iran University of Medical Sciences,Tehran, Iran.
| Fereidoon Mohammadianpour
Department of Orthopedics, School of Medicine Firoozgar General Hospital, Iran University of Medical Sciences,Tehran, Iran.
| Hamid Reza Dehghani Nazhvani
Department of Orthopedics, School of Medicine Firoozgar General Hospital, Iran University of Medical Sciences,Tehran, Iran.
| Reza Ahmadi
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedics Hospital, Iran University of Medical Sciences,Tehran, Iran.
| Omid Elahifar
Department of Orthopedics, School of Medicine Firoozgar General Hospital, Iran University of Medical Sciences,Tehran, Iran.
|
|
| نشانی اینترنتی |
http://jros.iums.ac.ir/browse.php?a_code=A-10-349-2&slc_lang=en&sid=1 |
| فایل مقاله |
فایلی برای مقاله ذخیره نشده است |
| کد مقاله (doi) |
|
| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
تروما |
| نوع مقاله منتشر شده |
پژوهشی |
|
|
|
برگشت به:
صفحه اول پایگاه |
نسخه مرتبط |
نشریه مرتبط |
فهرست نشریات
|