International Journal of Clinical Research

Objective: To investigate the clinical effect of modified fluoroscopy in the treatment of unstable femoral intertrochanteric fractures in the elderly with proximal femoral nail antirotation (Pfna) under non-traction bed. Methods from October 2020 to October 2022,30 elderly patients with femoral intertrochanteric fracture were treated with PFNA in supine position under non-traction bed. As a result, about 20-30 minutes were saved from preoperative preparation to the end of the operation, with an average of 40-50 minutes per operation, greatly reducing perioperative risk. All the patients were followed up for 6-18 months on average. The fractures of 28 patients were healed and their daily activities were resumed completely. One patient got out of bed too early, the bone did not heal and coxa vara occurred. One patients fracture did not fully heal and he was walking with a heavy load. Conclusion: PFNA in supine position under non-traction bed for the treatment of unstable intertrochanteric fracture of femur in the elderly is more worthy of promotion and application in grass-roots hospitals.

Improved Fluoroscopy; Elderly Intertrochanteric Fracture; PFNA; Non-Traction Bed; Supine Position