Comparison of treatment effect,safety and joint function of patients with intertrochanteric fractures with different internal fixation
WANG Yan-song
REN Long-xi
XU Zhi-yang
WU Fei-hua
YANG Li-dong
Abstract：Objective To observe the effect and joint function of proximal femoral intramedullary nail(PF-NA),dynamic hip screw(DHS)and proximal femoral anatomic locking plate(ALP)internal fixations in the treat-ment of intertrochanteric fractures.Methods A total of 96 patients who adopted internal fixation for intertrochan-teric fractures in our hospital from Dec.2013 to Dec.2016 were divided into three groups according to the internal fixation method,with 32 patients in each group.The clinical data of all patients were retrospectively analyzed,and in-traoperative and postoperative situation,postoperative complications and Harris scores of three groups were com-pared.Results Compared with the PFNA group,the operation time,blood loss,length of incision,postoperative drainage and bed time of the DHS group and the ALP group were significantly more(P<0.01),but the difference of postoperative fracture healing time of the three groups was not statistically significant(P>0.05).All three groups developed complications like fixation brakage,screw extraction,extremity shortening and delayed union,but PFNA group did not develop coxa vara.The postoperative complication rate of the DHS group was more than that of the PF-NA group and the ALP group(P<0.05).The excellent and good rate of hip joint function evaluated by Harris score of the PFNA group was 90.6%,which was slightly more than 87.5%of the DHS group and the ALP group,but the difference was not statistically significant(P>0.05).Conclusion PFNA,DHS and ALP internal fixations can treat intertrochanteric fracture effectively,and each has its advantages.
Keywords：femoral intertrochanteric fractureintramedullary nailscrewplateinternal fixationjoint function
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 272-275 )