Total hip arthroplasty versus proximal femoral nail for intertrochanteric fractures
10.3969/j.issn.2095-4344.2013.52.004
- VernacularTitle:人工髋关节置换与股骨近端髓内钉治疗股骨转子间骨折的比较
- Author:
Yaping WANG
;
Tong LU
- Publication Type:Journal Article
- Keywords:
femoral neck fractures;
arthroplasty;
replacement;
hip;
hip prosthesis;
internal fixators
- From:
Chinese Journal of Tissue Engineering Research
2013;(52):8961-8966
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Internal fixation has become the first choice for the treatment of intertrochanteric fractures. However, the methods and materials for internal fixation are various. Which one has the best clinical efficacy?
OBJECTIVE:To compare the effects of proximal femoral nail and total hip arthroplasty for the treatment of intertrochanteric fractures.
METHODS:A total of 46 patients with intertrochanteric fractures were voluntarily divided into two groups:proximal femoral nail and total hip arthroplasty. Operation time, intraoperative blood loss, and Harris scores were compared between the two groups, and X-ray examination was used for assessment of clinical efficacy in the two groups.
RESULTS AND CONCLUSION:Total y 46 patients were fol owed-up for 3 to 12 months. Fractures in al the patients were healed. As compared with the total hip arthroplasty group, in the proximal femoral nail group, approach incision was smal er, blood loss was higher, operation time and fracture healing time were longer, and Harris score was lower (P<0.05). These findings indicate that the total hip arthroplasty is better than proximal femoral nail for intertrochanteric fractures, with less invasion and blood loss. However, the long-term effects need further studies.
