Choosing the treatment strategy of inter-trochanteric femoral fracture according to Singh index and type of fracture

VernacularTitle:综合Singh指数与骨折分型选择股骨粗隆间骨折治疗方式
Author: Heyi ZHAO ; Guoju MA ; Shengchan XU
Publication Type:Journal Article
Keywords: Inter-trochanteric femoral fracture; Singh index; Fracture type
From: Clinical Medicine of China 2012;28(5):526-528
CountryChina
Language:Chinese
Abstract: Objective To study the efficacy of Singhindex and fracture-type-based treatment strategy on inter-trochanter femoral fracture.Methods Sixty four patients who suffered from inter-trochanteric femoral fracture from 2007 to 2010 were recruited into this study.The pattern of fixation was determined according to the preoperative Singh index and fracture type.The efficacy of fixation was compared with that of the previously treated 127 cases in the same condition.Results The healing time of fracture in the study group was 10.5 ± 1.2 weeks,which was significantly shorter than 12.6 ± 2.4 weeks of the control group( t =4.27,P ＜ 0.05 ).Fixationrelated complications were observed in 3 cases in the study group and 17 cases in the control group,which was statistically different between the two groups ( x2 =5.74,P ＜ 0.05 ).The percentage of patients with excellent outcome in the study group was 91％ (58/64),significantly higher than 84％ ( 107/127 ) of the control group ( x2 =6.28,P ＜ 0.05 ).Conclusion Treating the inter-trochanteric femoral fracture according to Singh index and fracture type will create improved clinical efficacy.