{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:25:01Z","timestamp":1792621501481,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess long\u2010term follow\u2010up evaluations for the treatment of femoral intertrochanteric fractures with the \u201cthree\u2010finger method\u201d assisted by proximal femoral nail antirotation (PFNA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2010 to January 2017, 123 patients were selected and followed for the treatment of femoral intertrochanteric fractures with PFNA assisted by the \u201cthree\u2010finger method\u201d (application of the index finger, middle finger, and ring finger in the process of surgery to assist PFNA). There were 56 male patients and 67 female patients aged 52\u201393\u2009years with an average age of 75.6\u2009years, and 88 cases were due to a fall and 35 due to a traffic accident injury. The femoral necks were fixed with PFNA assisted by the \u201cthree\u2010finger method\u201d applying the following procedure: traction reduction, determining the incision, inserting the needle, and placing screw. The Harris hip score, postoperative complications, hip pain and function status were statistically analyzed to evaluate the surgical efficacy and to discuss the surgical technique of the \u201cthree\u2010finger method\u201d assisted by PFNA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>According to the Harris scoring criteria, patients were followed for 1, 2, 4, 6, and 8\u2009years, and the good outcomes of patients were recorded. The excellent and good rate of 87% was the highest in the second year of follow\u2010up. Then, the rate decreased following the eighth year of follow\u2010up. The excellent and good rate of 82.7% was the lowest. The patients with incisions healed well, there were no instances of fat liquefaction or infection. There were three cases of effusion, the rate was 2.4%. The secretions were cultured, and no bacterial growth was found. After treatment of the wound, it healed, and the spiral blade used for the femoral head did not wear out. There was one case of femoral head necrosis. There was no significant correlation between hip pain and sex and age (<jats:italic>P<\/jats:italic> &gt;\u20090.05), and the function of the hip joint was significantly correlated with the age of the patients (<jats:italic>P<\/jats:italic> &lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The \u201cthree\u2010finger method\u201d in the process of surgery to assist PFNA for the treatment of patients with intertrochanteric fractures of the femur simplified the operation steps, reduced the operation difficulty, shortened the operation time, improved the operation efficiency, and reduced the incidence of postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12656","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T05:52:02Z","timestamp":1588139522000},"page":"543-551","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Procedure for Femoral Intertrochanteric Fractures using the \u201cThree\u2010Finger Method\u201d Assisted by Proximal Femoral Nail Antirotation"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0498-1750","authenticated-orcid":false,"given":"Qian","family":"Cheng, MD","sequence":"first","affiliation":[{"name":"Department of Orthopaedic, Tong Ren Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Department of Orthopaedic, Affiliated Hospital of Jiangsu University  Zhenjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Lin, BM","sequence":"additional","affiliation":[{"name":"Medical College, Jiangsu University  Zhenjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010dong","family":"Zhu, MD","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Tong Ren Hospital Shanghai Jiao Tong University School of Medicine  Shanghai 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