Podium (General) 13

A Retrospective Cohort Study on the Outcomes of Pertrochanteric Fractures in Patients 65 Years Old and Above Treated with Either Proximal Femoral Nailing Versus Partial Hip Arthroplasty

Rina Therese R. Madelar, MD, TMC

Background: The purpose of this study was to determine if proximal femoral nailing will lead to better outcomes compared to partial hip arthroplasty in patients 65 years old and above who suffered an intertrochanteric fracture.

Methods: The study included 42 patients admitted at The Medical City Department of Orthopedics between January 2014 and December 2017. 28 patients underwent proximal femoral nailing (PFN), while 14 patients underwent partial hip arthroplasty (PHA). A retrospective chart review was done to obtain information regarding age, sex, laterality of fracture, procedure done, operative duration, intraoperative blood loss, length of hospital stay, and postoperative complications.

Results: Operative duration, blood loss, hospital stay, postoperative complications and ambulatory status were not statistically different between both groups. Age is significantly different, where patients in the PHA group were older at a mean age of 87 years old versus patients in the PFN group at a mean age of 80 years.

Conclusion: PFN and PHA are equally good treatment options for patients with pertrochanteric fractures. Doing PHA in older patients have advantages of immediate weight bearing and decreased risk of fixation failure. Using a PFN was seen to have the same surgical duration as doing hemiarthroplasty; however, total anesthetic time is increased.