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The Scientific World Journal
Volume 2013, Article ID 276015, 7 pages
Clinical Study

Randomized Controlled Trials of Proximal Femoral Nail Antirotation in Lateral Decubitus and Supine Position on Treatment of Intertrochanteric Fractures

1Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China
2Department of Orthopaedics, Chengdu Third People's Hospital, Chengdu 610031, China
3Department of Gynaecology and Obstetrics, Chengdu Women's & Children's Central Hospital, Chengdu 610091, China

Received 1 February 2013; Accepted 26 February 2013

Academic Editors: E. Berthonnaud, C. W. Oh, D. Sakai, and S. Sonoda

Copyright © 2013 Li Xue et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The objective of this study was to compare the clinical results and complications of proximal femoral nail antirotation (PFNA) on treatment of intertrochanteric fractures in 120 elderly Chinese patients using Randomized Controlled Trials (RCTs). Totaly 120 cases enrolled were randomly assigned to a lateral decubitus position group and supine position group. The hospital stay, operating time, intraoperative blood loss, length of incision, X-ray fluoroscopy time, and out-of-bed activity time in the lateral decubitus position group were significantly lower than those in the supine position group. There was not statistical significance on union time and Harris values in the two position groups. Moreover, only complications of superficial wound infection were observed in the lateral decubitus position group, but two complications of deep venous thrombosis and wound deep infection were found in the supine position group. The present findings suggested that PFNA applied in elderly patients with intertrochanteric fracture can get satisfactory effects, and the treatment of intertrochanteric fractures using lateral decubitus position showed a satisfactory clinical outcome and a lower radiological complication rate.