The clinical study of treatment of intertrochanteric fractures with DHS, LCP and Gamma 3 nail
WANG Xin-ying
BAI Hai-jun
JI Xu-bin
JIANG Shan-yong
Abstract：Objective To compare clinical assessments including operation details, complications and functional recovery of intertrochanteric hip joint fractures treated with dynamic hip screw (DHS), locking compression plate (LCP) and Gamma 3 nail. Methods From February 2000 to May 2008, fifty-five patients with intertrochanteric fractures were included in the study. 21, 11 and 23 patients were treated by DHS, LCP and Gamma 3 nail respectively. The therapeutic effects were observed. Results There was significant difference in the mean operation time between each other among the three groups (P ＜ 0.01 ). The mean intraoperative blood loss in Gamma 3 group was statistically less than those in the other two groups (P ＜ 0.01 ). The number of patients with complications in Gamma 3 nail group was significantly lower than those in the other two groups (P ＜0.01 ). There was no significant difference in the functional recovery of hip joint between each groups ( P ＜ 0.05 ). There was no significant difference among three opetative methods as well as the therapeutic effect. Gamma 3 nail group was implanted with a significantly smaller incision and shorter operative time and clinical healing time, fewer blood loss and drainage. Gamma 3 nail group had an earlier weight bearing and a lower rate of complication. Conclusions Gamma 3 nail is one of the ideal choices for the treatment of unstable intertrochanteric fractures.
Keywords：Intertrochanteric fracturesInternal fixationDynamic hip screw (DHS)Locking compression plate (LCP)Gamma 3 nail
Publication Date：2010-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)