Proximal femoral locking plate and anti-rotation intramedullary nail in repair of intertrochanteric fracture in the elderly:1-year follow-up
10.3969/j.issn.2095-4344.2015.53.009
- VernacularTitle:股骨近端锁定钢板与防旋髓内钉修复老年股骨转子间骨折：1年随访评价
- Author:
Geng TIAN
;
Lili YANG
;
Yong WU
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2015;(53):8579-8584
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:There are more ways of internal fixation in treatment of elderly intertrochanteric fracture;however, how to choose a fixed way is the key issue of ensuring the efficacy. OBJECTIVE:To compare the therapeutic effect of proximal femoral anti-rotation intramedul ary nail and proximal femoral locking plate in the treatment of elderly femoral intertrochanteric fractures. METHODS:Total y 100 patients with femoral intertrochanteric fractures who received the treatment at Qionghai City People’s Hospital from December 2009 to December 2013 were randomly divided into locking plate and anti-rotation intramedul ary nail groups. Patients in the anti-rotation intramedul ary nail group underwent internal fixation using proximal femoral anti-rotation intramedul ary nail. Patients in the locking plate group underwent internal fixation using proximal femoral locking plate. RESULTS AND CONCLUSION:Compared with the locking plate group, the amount of bleeding, operation time, postoperative bed activity time and hospital stay in the anti-rotation intramedul ary nail group significantly reduced, the excel ent rate of Harris scores was significantly increased after 1 year of internal fixation and the incidence of complications and adverse reactions was significantly decreased. There was no host response to the material in these two groups.
