Comparison of the Effect of Three Internal Fixation Methods in the Treatment of the Aged Femoral Interochanteric Fractures

Abstract：Objective:To separately investigate the best surgical tactic among the DHS,LCP and PCCP for each senior patients with different fracture condition.Method:The surgeries were performed in Wuxi People’s Hospital from January 2008 to June 2013,47 patients aged over 80 years old with intertrochanteric femoral fractures were treated with PCCP method(the PCCP group),57 patients with DHS method(the DHS gruop) and 24 patients with LCP method(the LCP group),the effect of three groups were compared.Result:In the PCCP group,from 8 to 15 months(mean 10.5 months) follow-up after surgery, whereas the DHS group had from 10 to 17 months(mean 11.2 months) follow-up and the LCP group had from 8 to 17 months(mean 11.5 months) follow-up.The mean healing time,complications and Harris Hip Scores of three groups,there was no statistical significance(P<0.05).Conclusion:Each surgery method performes well. The PCCP group and DHS group have a better prognosis.The PCCP and LCP technique,performe better among the patients with severe osteopenia or osteoprosis. The LCP system indicates better osteogensis and restoration of hip function in comminutied fracture.The PCCP method allowes the patients early-stage and partial weight bearing,which enhances the rehabilitation.And we also find,for the patient being intolerance to anesthesia,the PCCP is the outstanding way to surgery.