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Published: 2026-06-29
Abstract Views: 5
DOI: https://doi.org/10.52163/yhc.v67iCD7.5629
Issue
Vol. 67 No. CĐ7- Trường ĐH Y Dược Hải Phòng
Section
Articles
How to Cite
Đức, N. M., Tuấn, N. M., Duyệt, P. V., & Long, P. T. (2026). OUTCOMES OF SURGICAL TREATMENT FOR CLOSED INTERTROCHANTERIC FEMORAL FRACTURES USING PFNA NAILS UNDER FLUOROSCOPIC GUIDANCE AT HA TINH PROVINCIAL GENERAL HOSPITAL. Vietnam Journal of Community Medicine, 67(CĐ7- Trường ĐH Y Dược Hải Phòng). https://doi.org/10.52163/yhc.v67iCD7.5629

OUTCOMES OF SURGICAL TREATMENT FOR CLOSED INTERTROCHANTERIC FEMORAL FRACTURES USING PFNA NAILS UNDER FLUOROSCOPIC GUIDANCE AT HA TINH PROVINCIAL GENERAL HOSPITAL

Nguyen Manh Duc1, Nguyen Minh Tuan1, Pham Van Duyet2, Pham Tam Long2
1 Ha Tinh Provincial General Hospital
2 Hai Phong University of Medicine and Pharmacy

Main Article Content

Abstract

Objectives: To evaluate the results of surgical treatment for closed intertrochanteric femoral fractures using PFNA nails under fluoroscopic guidance at Ha Tinh Provincial General Hospital.


Materials and methods: A descriptive case series study, combining retrospective and prospective designs, was conducted on 40 patients who underwent PFNA nailing surgery at Ha Tinh Provincial General Hospital from January 2024 to February 2026.


Results: The mean age was 78.21±10.22 years, domestic accidents accounted for 82.5%, osteoporosis grades 1-2 predominated at 55%, the average operative time was 92.31± 26.36 minutes, all cases used 170mm nails, the average postoperative neck-shaft angle was 131.3± 4.6 độ, the average postoperative TAD was 23.8 ± 3.7 mm, the postoperative Harris score improved from 78.73 points at 3 months postoperatively to 86.45 points at 6 months postoperatively.


Conclusion: PFNA nailing surgery under fluoroscopic guidance for the treatment of intertrochanteric femoral fractures is a safe and effective procedure.

Article Details

Keywords

PFNA nail, intertrochanteric femoral fracture, intramedullary nail

References

1. Ngọc, P.V., H.S. Nam, and L.C. Dũng, Kết quả điều trị phẫu thuật gãy liên mấu chuyển xương đùi không vững ở người lớn tuổi bằng đinh chống xoay đầu trên xương đùi với kĩ thuật ít xâm lấn. Tạp chí Y Dược học Cần Thơ, 2023. 68: p. 7-14.
2. S, S. and e. al, Functional results of proximal femoral nail antirotation (PFNA) in elderly patients with intertrochanteric fractures: A 5-year retrospective study. ournal of Orthopaedic Surgery and Research., 2022: p. 126-133.
3. L, Z. and e. al, Correlation between tip-apex distance and mechanical failure in unstable intertrochanteric fractures fixed with PFNA: A multicenter study. Archives of Orthopaedic and Trauma Surgery, 2024. 2: p. 113-119.
4. Toàn, V.T., et al., Kết quả điều trị gãy liên mấu chuyển xương đùi bằng đinh PFNA không dùng bàn chỉnh hình tại Bệnh viện Thống Nhất. Tạp chí Y học Việt Nam, 2023. 530: p. 18-23.
5. Đức, N.M. and Đ.X. Thành, Kết quả điều trị gãy liên mấu chuyển bằng đinh nội tủy đầu trên xương đùi tại Bệnh viện Đa khoa Xanh Pôn. Tạp chí Y học Việt Nam, 2023. 533: p. 273-277.
6. M.R, B., The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. Journal of Bone and Joint Surgery, 1995.