Proximal femoral nail versus dynamic hip screw fixation for intertrochanteric fracture in the elderly:complication rate in 12-month follow-up
10.3969/j.issn.2095-4344.2014.44.017
- VernacularTitle:股骨近端髓内钉与动力髋螺钉内固定修复老年股骨转子间骨折：12个月随访并发症发生率比较
- Author:
Hongjiang SHEN
;
Liang GUO
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2014;(44):7146-7150
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Internal fixation has been shown to decrease intertrochanteric fracture complications in the clinic and to improve quality of life of patients. The major method widely used in the clinic is the fixation of proximal femoral nail and dynamic hip screw. ＜br> OBJECTIVE:To observe the clinical effects of proximal femoral nail and dynamic hip screw in treatment of intertrochanteric fracture in the elderly. ＜br> METHODS:A total of 60 patients with intertrochanteric fracture were randomly divided into proximal femoral nail and dynamic hip screw groups (n=30), and they respectively received proximal femoral nail and dynamic hip screw fixation. ＜br> RESULTS AND CONCLUSION:Compared with the dynamic hip screw group, operative time, blood loss, the incidence of complications one year after repair, fracture healing time and complications were lower in the proximal femoral nail group (P＜0.05). After repair, the excellent and good rate of Harris hip scores was higher (P＜0.05). No significant difference was detected in healing time of wound between the two groups (P>0.05). Results verified that compared with the dynamic hip screw fixation, the clinical effects of proximal femoral nail fixation were better, more safe and reliable in the treatment of intertrochanteric fracture in the elderly.
