Percutaneous compression plate versus sliding hip screw in treatment of elderly patients with osteoporotic and stable intertrochanteric fracture

VernacularTitle:两种方法治疗老年骨质疏松性稳定型股骨粗隆间骨折的对比分析
Author: An NING ; Honggang GUO
Publication Type:Journal Article
Keywords: Intertrochanteric fracture; percutaneous compression plate; sliding hip screw; internal fixators; lateral wall
From: Chongqing Medicine 2014;(13):1570-1572
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical outcomes of minimally invasive treatment of elderly patients with osteoporotic and stable intertrochanteric fracture with percutaneous compression plate as compared with sliding hip screw.Methods Retrospec-tive analysed 86 old patients with stable intertrochanteric fracture treated by PCCP(PCCP group)or SHS(SHS group)from Janu-ary 2009 to December 2010.There was 39 cases in the PCCP group and 47 cases in the SHS group.The operation time,blood loss, transfusion rate,incidence of lateral wall rupture,full weight bearing time and last Harris hip scores were recorded and compared between two groups.Results Shorter operation time,less blood loss and high Harris scores were observed in the PCCP group(P<0.05),but no signifocont difference between the two groups of tromsfusion rate and incidence of Lateral wall rapture(P>0.05). Conclusion compared with SHS,PCCP can lead to a lower surgery blood loss,shorter operation time and a better hip function.It is a suitable impant for elderly patients with osteoporotic and stable intertrochanteric fracture.