Hemiarthroplasty versus Proximal Femoral Nailing: Intertrochanteric Fractures
Eastern Journal of Medicine, cilt.31, sa.4, ss.802-808, 2026 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.5505/ejm.2026.66067
- Dergi Adı: Eastern Journal of Medicine
- Derginin Tarandığı İndeksler: Scopus, EMBASE, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Sayfa Sayıları: ss.802-808
- Anahtar Kelimeler: Harris Hip Score, intertrochanteric femoral fracture, Oxford Hip Score, Partial hip prosthesis, proximal femoral nail
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Van Yüzüncü Yıl Üniversitesi Adresli: Evet
Özet
To compare the functional outcomes of elderly patients with intertrochanteric femoral fractures treated with proximal femoral nail (PFN) and partial hip prosthesis (PHP). A total of 51 patients who underwent surgical treatment for intertrochanteric femor al fractures between January 2016 and January 2020 were included in the study. The patients’ demographic characteristics, surgical method, operative details, comorbidities, perioperative hemoglobin levels, transfusion requirements, and follow-up scores [Harris Hip Score (HHS) and Oxford Hip Score (OHS)] were evaluated. The study included a total of 51 patients, comprising 32 men (62.7%) and 19 women (37.3%), with a mean age of 72.84±12.02 years. The mean age was 79.92±6.88 years in the PHP group and 65.48±1 1.87 years in the PFN group. Patients treated with PHP were older than those treated with PFN, whereas no statistically significant difference was found in terms of sex distribution (p=0.021 and p=0.083, respectively). No statistically significant differen ce was found between the groups with respect to operative time, perioperative hemoglobin levels, hemoglobin decrease, erythrocyte suspension requirements, or comorbidity distribution (p>0.05). In terms of Oxford Hip Score distribution, normal and mild scor es were more frequent in the PHP group, whereas moderate-severe and severe scores were more frequent in the PFN group (p=0.003). In terms of Harris Hip Score distribution, excellent and good scores were more frequent in the PHP group, whereas fair and poor scores were more frequent in the PFN group (p<0.001). Both PFN and PHP were used in the surgical treatment of intertrochanteric femoral fractures in this cohort. Although more favorable functional score distributions were observed in the PHP group, the re trospective design and baseline differences between the groups preclude conclusions regarding the superiority of either treatment. Treatment selection should be individualized according to patient and fracture characteristics.