A retrospective comparative study of the clinical and radiological outcomes of intertrochanteric fractures treated with proximal femoral nail antirotation (PFN-A) and INTERTAN nail
2025

Comparing Two Nail Types for Hip Fractures

Sample size: 194 publication Evidence: moderate

Author Information

Author(s): Varmış Hasan Orkun, Gökmen Mehmet Yiğit, Tan İsmet

Primary Institution: Çukurova University Faculty of Medicine

Hypothesis

Is there a difference in clinical and radiological outcomes between PFN-A and INTERTAN nails for treating intertrochanteric fractures?

Conclusion

Neither nail type has proven superior in terms of complication rates and clinical data.

Supporting Evidence

  • 194 patient files were analyzed for the study.
  • The average Harris Hip Score was 85.3 for PFN-A and 82.8 for INTERTAN.
  • 12.5% mortality rate in the first 1.5 months post-surgery.
  • 76 patients were treated with PFN-A and 118 with INTERTAN.
  • Mean age of patients was 70.9 years.
  • Statistical significance was found in the first follow-up HHS scores.

Takeaway

Doctors compared two types of nails used to fix broken hips and found that neither worked better than the other.

Methodology

Retrospective analysis of patient files from surgeries performed between September 2010 and June 2015.

Limitations

Single-center study with a limited number of files and lack of bone mineral density data.

Participant Demographics

Mean age 70.9 years; 51.5% male, 48.5% female.

Statistical Information

P-Value

0.025

Confidence Interval

95% CI 46.3-54.4 months

Statistical Significance

p=0.025

Digital Object Identifier (DOI)

10.1371/journal.pone.0316954

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