Is PFN with talon locking system as successful as PFNA in geriatric hip fracture?

Abstract

Aim: We compared the functional and radiological results and radiation exposure of patients treated with PFN-A and the Talon-locked PFN.Methods: The study included 92 patients (43 women, 49 men; mean age 75.01 years) who underwent PFN with the diagnosis of proximal femur fracture between 2014-2018. In our retrospective study, patients were divided into two groups: the Talon locked PFN group 1 (n= 46) and the PFN-A group 2 (n = 46). Demographic data, radiographic findings, WOMAC scores and C-arm scopy shots were evaluated.Results : The mean follow-up period was 11.05 months. Mortality was %4.3 in Group I and %6.5 in Group II. The collodiaphyseal angle was 129.5 ± 3.4 in Group I and 126.8 ± 3.6 in Group II (p = 0.01); Singh index was found to be 4.1 in Group I and 3.62 in Group II (p = 0.06); union was 4.62 ± 1.06 in Group I and 5.1 ± 1.51 in Group II (p = 0.68). The duration of fluoroscopy was 53.08 (45-89) in Group I and 97.4 (76- 150) in Group II (p <0.05). The duration of fracture union was 4.62 ± 1.06 in Group I, 5.1 ± 1.51 (p = 0.68) in Group II, 69.9 ± 4.26 in Group I and 70.2 ± 5.75 in Group II (p = 0.78).Conclusion: As a result, PFN with Talon lock is an easy and reliable alternative to PFN systems because of less radiation exposure and shorter surgical time.

Keywords

• pfn
• pfn-a
• talon
• intertrokanterik kırık
• pfn
• pfn-a
• talon
• intertrochanteric fracture