Comparison of InterTAN and dynamic hip screw in treatment of femoral intertrochanteric fractures
10.3760/cma.j.issn.1673-4904.2013.05.002
- VernacularTitle:InterTAN髓内钉与动力髋螺钉治疗股骨转子间骨折疗效比较
- Author:
Zhonghai JIANG
;
Ningjian LI
;
Qijian ZHU
;
Jiansen SUN
;
Gang WU
- Publication Type:Journal Article
- Keywords:
Hip fractures;
InterTAN intramedullary nail;
Dynamic hip screw
- From:
Chinese Journal of Postgraduates of Medicine
2013;(5):4-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of InterTAN (IT) and dynamic hip screw (DHS) in treatment of femoral intertrochanteric fractures.Methods From July 2008 to November 2011,the patients with femoral intertrochanteric fractures were treated by IT (IT group,21 patients) and DHS (DHS group,35 patients).The intraoperative data (operative time,intraoperative blood loss,incision length and hospitalization period),postoperative complications (wound infection,lower limb deep venous thrombosis,bedsore,urinary tract infection and pneumonia) and fracture healing (fracture healing time,femoral neck crispation,coxa vara and Harris scores) were compared.Results IT group was superior to DHS group in operative time,intraoperative blood loss,incision length and hospitalization period [(62.16 ± 15.26) min vs.(85.78 ± 19.50) min,(237.73 ± 108.51) ml vs.(490.87 ± 127.90) ml,(10.20 ±2.02) cm vs.(19.83 ± 2.98) cm and (10.23 ±5.52) d vs.(15.58 ±5.32) d,P ＜0.01].However,there was no significant difference in postoperative complications (P ＞ 0.05).There was significant difference between IT group and DHS group in femoral neck crispation,coxa vara [9.52％ (2/21)vs.28.57％ (10/35),14.29％ (3/21)vs.31.43％ (11/35),P ＜ 0.01].There was no significant difference in fracture healing time and Harris scores (P ＞ 0.05).Conclusions Compared with DHS,IT has extensive application,shorter surgical time and reliable fixation effect.Therefore,IT is suitable to femoral intertrochanteric fractures.
