{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:33:21Z","timestamp":1787776401872,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Proximal Femoral Nailing (PFN) and Proximal Femoral Nailing Anti-rotation (PFNA 2) are both intra-medullary implants having 6 degrees of proximal valgus angulation. The helical blade compact the cancellous bone in femoral head when it is driven inside.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives:<\/jats:title>\n                    <jats:p>The aim of our study is to compare radiological and functional outcome and superiority over other in management of unstable intertrochanteric fracture by PFN and PFNA 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The study was conducted from October 2021 to September 2022 which included 76 patients of unstable intertrochanteric fractures of femur.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In PFN group, Harris hip score was Excellent in 23 cases (60.52%), Good in 12 cases (31.57%), Fair in 2 cases (5.26%) and poor in1 case (2.63%). In PFNA 2 group, Harris hip score was excellent in 24cases (63.15%), Good in13 cases (34.21 %), Fair in 1 case (2.63%) and Poor in none of the cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PFNA 2 significantly reduces the operative time and blood loss compared to PFN. However Both PFN and PFNA 2 implants offers no statistically significant advantages over each other in terms of fracture unions, functional and radiological outcomes, post-operative complications and recovery outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_144_24","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T12:00:12Z","timestamp":1748606412000},"page":"621-627","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A Randomized Trial Comparing the Outcome of Proximal Femoral Nailing and Proximal Femoral Nailing Antirotation 2 for Unstable Intertrochanteric Femur Fracture"],"prefix":"10.4103","volume":"24","author":[{"given":"Vinay","family":"Prabhat","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanchuingam","family":"Jingua","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Govind Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Topno","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabyasachi","family":"Kundu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Guria","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"R1-20260422","first-page":"569","article-title":"Outcomes of trochanteric femoral fractures treated with proximal femoral nail: An analysis of 100 consecutive cases","volume":"9","author":"Korkmaz","year":"2014","journal-title":"Clin Interv Aging"},{"key":"R2-20260422","first-page":"1563","article-title":"Proximal femoral fractures: What the orthopedic surgeon wants to know","volume":"35","author":"Sheehan","year":"2015","journal-title":"Radiographics"},{"issue":"4","key":"R3-20260422","first-page":"CD000093","article-title":"Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults","author":"Parker","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"R3-20260422","first-page":"CD000093","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-20260422","first-page":"354","article-title":"Comparative study between proximal femoral nail and proximal femoral nail antirotation in management of unstable trochanteric fractures","volume":"2","author":"Kashid","year":"2016","journal-title":"Int J Res Orthop"},{"key":"R5-20260422","first-page":"e96","article-title":"Short versus long intramedullary nails for treatment of intertrochanteric femur fractures (OTA 31-A1 and A2)","volume":"28","author":"Boone","year":"2014","journal-title":"J Orthop Trauma"},{"key":"R6-20260422","first-page":"76","article-title":"Pertrochanteric femoral fractures treated with a dynamic hip screw or a proximal femoral nail. A randomised study comparing post-operative rehabilitation","volume":"87","author":"Pajarinen","year":"2005","journal-title":"J Bone Joint Surg Br"},{"key":"R7-20260422","first-page":"699","article-title":"An outcomeanalysis of intertrochanteric femur managed with PFNA-2","volume":"5","author":"Harshwarden","year":"2019","journal-title":"Int J Res Orthop"},{"key":"R8-20260422","first-page":"3189","article-title":"A comparative study of 30 cases of intertrochanteric fracture femur in elderly patients treated with PFN A-2 and PFN","volume":"8","author":"Singh","year":"2021","journal-title":"Eur J Mol Clin Med"},{"key":"R9-20260422","first-page":"1396","article-title":"The radiographic union score for hip (RUSH) identifies radiographic nonunion of femoral neck fractures","volume":"474","author":"Frank","year":"2016","journal-title":"Clin Orthop Relat Res"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_144_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:10:45Z","timestamp":1787775045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_144_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,30]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_144_24","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,30]]},"assertion":[{"value":"2024-08-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}