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Abstract Objective To investigate the PFNA in supine position and lateral decubitus position for the treatment of elderly patients with femoral intertrochanteric fractures for Evans Ⅱ～Ⅲ type.Methods 120 elderly patients with femoral intertrochanteric fractures for Evans Ⅱ～Ⅲ type were chosen in the period from April 2010 to April 2013 in our hospital and randomly divided into both group including A group (60 patients) with PFNA in supine position and B group (60 patients) with PFNA in lateral decubitus position；and the peri-operative indexes levels，the excellent and good rate of Harris scores postoperative for hip joint function and postoperative complication incidence of both groups were compared.Results The incision length，operative time and intraoperative blood loss of B group was significantly better than A group (P＜0.05).The intraoperative X-ray dose of A group was significantly better than B group (P＜0.05).There was no significant difference in fracture healing time between 2 groups(P＞0.05).There was no significant difference in the excellent and good rate of Harris scores postoperative for hip joint function between 2 groups(P＞0.05).There was no significant difference in the postoperative complication incidence between 2 groups(P＞0.05).Conclusion PFNA including supine position and lateral decubitus position in the treatment of elderly patients with femoral intertrochanteric fractures for Evans Ⅱ～Ⅲ type possess the same effect to promote recovery process of hip joint function and not induce the serious postoperative complication；PFNA in the lateral decubitus position application can efficiently reduce the trauma degree in the operation and shorten the operation time，but increase the intraoperative X-ray dose.
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［1］孙海波，彭阿钦，张万龙，等.PFNA治疗老年股骨粗隆间骨折隐性失血量相关性分析［J］.实用骨科杂志，2014，20(7)：600-603.
［2］侯勇洋，庞施义，庄志杰，等.影响股骨粗隆间骨折术后疗效的相关因素分析［J］.中国骨与关节损伤杂志，2011，26(12)：1061-1063.
［3］张长青.关于老年股骨转子间骨折的当代观点［J］.中华骨科杂志，2012，32(7)：611-613.
［4］Lopez Espinosa MJ，Mondal D，Armstrong B，et al.Thyroid function and perfluoroalkyl acids in children living near a chemical plant［J］.Environ Health Perspect，2012，120(7)：1036-1041.
［5］焦竞，黄玉成，李涛，等.不同内固定方式结合康复训练治疗老年股骨粗隆间骨折患者的疗效观察［J］.中华物理医学与康复杂志，2012，34(4)：300-302.
［6］Kristek D，Lovric I，Kristek J，et al.The proximal femoral nail antirotation(PFNA) in the treatment of proximal femoral fractures［J］.Coll Antropol，2010，3(11)：937-940.
［7］王飞，刘克敏，刘四海，等.三种手术方法治疗老年人股骨粗隆间骨折疗效分析［J］.中华老年医学杂志，2013，32(8)：853-856.
［8］余颖锋，谢文伟，姚汉刚，等.股骨近端锁定解剖钢板和PFNA治疗老年股骨粗隆间粉碎性骨折的疗效比较［J］.中华关节外科杂志(电子版)，2013，7(4)：477-480.
［9］邱志杰，杨惠林，魏立.PFNA 治疗老龄不稳定股骨转子间骨折76例的临床疗效分析［J］.重庆医学，2010，17(2)：2270-2272.
［10］Siwach R，Jain H，Singh R，et al.Role of hemiarthroplasty in intertrochanteric fractures in elderly osteoporotic patients：a case series［J］.European Journal of Orthopaedic Surgery ＆ Traumatology，2012，22(6)：467-472.
［11］Park MS，Cho HM，Kim JH，et al.Cementless bipolar hemiarthroplasty using a rectangular cross-section stem for unstable intertrochanteric fractures［J］.Hip Int，2013，23(3)：316-322.
［12］Xia WB，He SL，Xu L，et al.Rapidly increasing rates of hip fracture in Beijing China［J］.J Bone Miner Res，2012，27(1)：125-129.
［13］Tang P，Hu F，Shen J，et al.Proximal femoral nail antirotation versus hemiarthroplasty：a study for the treatment of intertrochanteric fractures［J］.Injury，2012，43(6)：876-881.
［14］韩文锋，周大鹏，张敬东，等.PFNA与人工股骨头置换治疗高龄不稳定股骨粗隆间骨折的对比研究［J］.中国骨与关节损伤杂志，2012，27(10)：920-921. |
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