Survival qualities of artificial cemented double femoral head versus proximal femoral nail antirotation for senile intertrochanteric fracture

Objective To explore the clinical curative effects of artificial cemented double femoral head versus proximal femoral nail antirotation for senile intertrochanteric fracture analyzing the patients’ survival quality. Methods 80 over 75 years old patients with intertrochanteric fracture treated at our hospital from May, 2009 to June, 2013 were selected and randomly divided into group A and group B, 40 for each group. The operation time, intraoperative bleeding volume, postoperative complete off-bed weight-bearing time, length of hospital stay, and postoperative Harris scores were compared between these two groups. All the patients were followed up for at least 2 years. European five-dimensional health index scale (EQ-5D) was used to evaluate the patients survival quality before and 3 and 6 months and 1 and 2 years after operation. Results There were no statistical differences in bleeding volume and Hgb value before and after operation between these two groups (P=0.161, 0.276) . The average operation time and were significantly shorter and the Harris scores 2 weeks and 3 months after operation were higher in group A than in group B (all P < 0.05). There no statistical differences in all the dimensions of EQ-5D before and 1 and 2 year after operation but were 3 months after operation between these two groups (P<0.05). Conclusions Compared with PFNA, artificial cemented double femoral head for intertrochanteric fracture has postoperative complete off-bed weight-bearing time, early postoperative recovery of hip function, and the better quality of life. The long-term follow-up effect of artificial cemented double femoral head is similar with PFNA. Key words: Artificial cemented double femoral head; Proximal femoral nail antirotation; Aged; intertrochanteric fracture; Quality of life