Evaluating the Efficacy of Proximal Femoral Nail Antirotation with Augmentation in Managing Osteoporotic Intertrochanteric Fractures: A Comprehensive Review
DOI:
https://doi.org/10.54536/ajlsi.v3i2.2759Keywords:
Augmentation, Cement, Fracture, Osteoporotic Intertrochanteric Fracture, PFNAAbstract
Addressing intertrochanteric fractures in those with impaired bone quality using orthopedic surgery is a huge challenge. This review assesses the effectiveness of Proximal Femoral Nail Antirotation (PFNA) with augmentation, cement being the best augmentation compared to others, in healing these fractures. Comparative analyses show that PFNA is significantly better than PFN, with reduced operative times, blood loss and complications, especially in high-risk elderly patients. This review compiles data from 15 articles which aims to provide an overall picture of the present evidence on the use of PFNA technique supplemented by the application of osteoporotic intertrochanteric fractures. Augmentation methods, such as cement augmentation, have come to the forefront as important adjuncts to increase stability and effectiveness in PFNA procedures. Research has demonstrated that adapting the cement augmentation technique helps to restore load-bearing capacity, lower implant failure rate and to better the clinical results in total joint arthroplasty. PFNA with cement augmentation effectively treats intertrochanteric fractures in osteoporosis hips, providing satisfactory results and potential for further clinical development. This review brings to the forefront the necessity of stabilizing the osteodensification and the proper cement augmentation, all of which aid in enhancing stability, occasioning less complications and leading to better postoperative outcomes. The future development in PFNA techniques and the trending advancement of augmentation strategies would allow the field of surgery to benefit from an even more optimized way of dealing with these fractures in the clinical setting which is both promising and favorable.
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