{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T08:43:06Z","timestamp":1758271386032},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"vor","delay-in-days":31,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2015,5]]},"abstract":"Objective<\/jats:title>To investigate the outcomes of treating middle\u2010up part long\u2010segment fractures of the femur by long proximal femoral nail antirotation (PFNA<\/jats:styled-content>\u2010long).<\/jats:p><\/jats:sec>Methods<\/jats:title>From J<\/jats:styled-content>une 2006 to D<\/jats:styled-content>ecember 2013, 139 cases (35 women, 104 men; mean age 48.8, range, 18\u221286 years) of long\u2010segment femoral fracture in middle\u2010up part were treated with long proximal femoral nail antirotation (PFNA<\/jats:styled-content>, 320\u2013380\u2009mm) by minimally invasive percutaneous fixation and autogenous iliac bone graft. Fifty\u2010eight cases were graded as type IA<\/jats:styled-content> long\u2010segment femoral fractures (41.73%), 25 type IB<\/jats:styled-content> (17.99%), four type IC<\/jats:styled-content> (2.88%), 28 type II<\/jats:styled-content> (20.14%), 12 type IIIA<\/jats:styled-content> (8.63%), five type IIIB<\/jats:styled-content> (3.60%), and seven type IV<\/jats:styled-content> (5.04%). Clinical efficacy was evaluated with Harris hip function scores and postoperative pain with visual analogue scale.<\/jats:p><\/jats:sec>Results<\/jats:title>The operative time was 35\u221290\u2009min (mean, 45\u2009min) and mean intraoperative blood loss 78.6\u2009mL (range 30\u2212200\u2009mL). Most patients were walking with assistance 4\u221210 days postoperatively. All patients were followed up for 3\u221237 months (mean, 19 months). There were no serious complications. All fractures healed after 2.8\u20136.8 months (mean, 3.9 months). According to Harris criteria, the clinical results were excellent in 108 patients, good in 22, fair in eight and poor in one. Ninety\u2010three cases had no pain, 33 mild pain, 13 moderate pain and 25 occasionally needed non\u2010steroidal analgesics.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Closed reduction or limited open reduction with PFNA<\/jats:styled-content>\u2010long is an effective treatment for long\u2010segment femoral fracture in middle\u2010up part, with good strength in fixation, high rate of fracture union, early functional recovery and low rate of complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12166","type":"journal-article","created":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T06:44:26Z","timestamp":1433141066000},"page":"138-145","source":"Crossref","is-referenced-by-count":5,"title":["Treatment of Middle\u2010up Part Long\u2010segment Femoral Fracture with Long Proximal Femoral Nail Antirotation"],"prefix":"10.1111","volume":"7","author":[{"given":"Yan\u2010bin","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u2010bin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guo\u2010sheng","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng\u2010ren","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xian\u2010gui","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010yuang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fuzhou Second Hospital, Affilated Hospital of Xiamen University Fuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31828c3dc9"},{"key":"e_1_2_5_3_1","first-page":"1127","article-title":"Treatment of long\u2010segment fracture in middle\u2010up part of femoral shaft with long proximal femoral nail antirotation of AO\/ASIF","volume":"30","author":"Lin YB","year":"2010","journal-title":"Zhonghua Gu Ke Za Zhi"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-010-1468-y"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.02.005"},{"key":"e_1_2_5_6_1","first-page":"262","article-title":"Research on femoral shaft fractures treated with intramedullary nail with a small incision feelings reset combined with autologous bone graft taken intramedullary","volume":"14","author":"Lin YB","year":"2012","journal-title":"Zhonghua Chuang Shang Za Zhi"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(86)90228-9"},{"key":"e_1_2_5_9_1","first-page":"7","article-title":"Comparison of various kinds of internal fixation for intertrochanteric hip fractures","volume":"25","author":"Zhang JW","year":"2005","journal-title":"Zhonghua Gu Ke Za Zhi"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.03.028"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.10.014"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(96)00199-4"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200206000-00011"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-006-0161-2"},{"key":"e_1_2_5_15_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/00003086-198406000-00008","article-title":"Hip fracture mortality. 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