The comparison of effect of dynamic hip screw and proximal femur interlocking intramedullary nail in treatment of intertrochanteric fractures

VernacularTitle:动力髋螺钉与股骨近端带锁髓内钉治疗股骨转子间骨折的效果比较
Author: Xiaodong YANG
Publication Type:Journal Article
Keywords: Bone nails; Fracture fixation,intramedullary; Femoral fractures; Aged
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(17):2626-2628
CountryChina
Language:Chinese
Abstract: Objective To compare the effect of dynamic hip screw(DHS) locked intramedullary nail and the proximal femur with (PFN) in the treatment of intertrochanteric fracture.Methods 88 patients with femoral intertrochanteric fracture were selected.According to the patients' intention and economic status,they were divided into two groups.43 cases in group A were treated by DHS internal fixation,45 cases in group B were treated by PFN internal fixation.The clinical efficacy,the healing time and complications were observed.Results The excellent and good rate in group A and group B were 95.35％,97.78％,there was no significant difference between the two groups (x2 =0.394,P ＞ 0.05).In group B,the healing time,intraoperative bleeding volume and the incidence rate of complications were significantly lower than those in A group (t =3.824,4.017,x2 =4.552,P ＜ 0.05).Conclusion DHS and PFN in treatment of femoral intertrochanteric fractures can achieve better efficacy,however,PFN can significantly reduce postoperative complications,and shorter healing time,which is worth to be widely applied in clinical.