Comparison of the effect of dynamic hip screw and anatomical locking plate fixation for the treatment of femoral intertrochanteric fractures
10.3760/cma.j.issn.1008-6706.2013.10.018
- VernacularTitle:动力髋螺钉与解剖型锁定钢板内固定治疗股骨粗隆间骨折的疗效比较
- Author:
Yongping ZHANG
- Publication Type:Journal Article
- Keywords:
Bone nails;
Fracture fixation,internal;
Femoral fractures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(10):1481-1483
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of dynamic hip screw(DHS) and anatomical locking plate for treatment of femoral intertrochanteric fractures.Methods 100 patients with intertrochanteric fractures were divided into observation group and the control group.The observation group was treated with DHS fixation,the control group was treated with anatomic locking plate.The therapeutic effect,incision length,blood loss,postoperative drainage,operative time,hospitalization time and complication rate were compared between two groups.Results The excellent,good,fair,poor,and the excellent and good rate in observation group were 35 cases,9 cases,5 cases,1 case and 86％,those in the control group were 37 cases,10 cases,3 cases,0 case and 94％.There was no significant difference in the excellent and good rate between two groups (x2 =1.77,P ＞ 0.05).Operation incision length,bleeding volume,postoperative drainage volume and operation time values of the observation group were better than those in the control group,the differences had statistical significance(t =4.44,10.91,9.52,9.73,all P ＜ 0.05).The hospitalization time and incidence rate of postoperative complications between two groups had no statistically significant differences (P ＞0.05).Conclusion In the treatment of intertrochanteric fractures,DHS fixation and anatomic locking plate fixation have good effects,anatomic locking plate fixation method has the advantages of small incision,less bleeding and shorter operative time.
