Journal of International Psychiatry

[Abstract] Objective: to analyze the effects of surgery and non-surgical treatment on depression and anxiety in elderly patients with femoral intertrochanteric fracture. Methods: 98 elderly patients with fihf who were hospitalized in our hospital from October 2019 to October 2020 were selected and grouped according to the random number table method. 49 patients in the conservative group were treated with non-surgical treatment, and 49 patients in the operation group were treated with PFNA (proximal femoral nail antirotation). The excellent and good rate, Harris score, complication rate, hospitalization time and fracture healing time of the two groups were compared SAS score, SDS score. Results: the excellent and good rate of the operation group (95.92%) was higher than that of the conservative group (71.43%). The Harris score of the operation group was higher than that of the conservative group after treatment. The incidence of complications in the operation group (4.08%) was lower than that in the conservative group (18.37%). The differences were statistically significant (P<0.05). The hospitalization time and fracture healing time of the operation group were shorter than those of the conservative group. The SAS score and SDS score of the operation group after treatment were lower than those of the conservative group, and the differences were statistically significant (P<0.05). Conclusion: PFNA can effectively improve the hip joint function, reduce the incidence of complications, shorten the fracture healing and treatment time, and the psychological pressure of patients is light.

[Key words] conservative treatment; proximal femoral nail antirotation; elderly intertrochanteric fracture; bad mood