Comparison of Expandable PFN,DHS and Gamma Nail in Clinical Application for Intertrochanteric Hip Fracture
- VernacularTitle:膨胀式髓内钉-PF钉、DHS、Gamma钉治疗股骨粗隆间骨折的比较
- Author:
Guoming DING
- Publication Type:Journal Article
- Keywords:
Intertrochanteric hip fracture;
Internal fixation
- From:
Journal of Medical Research
2006;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the advantage and the poinf for affention to expandable(self-locking)intramedullary nail based upon its clinical application in intertrochanteric hip fracture.Methods Ninety-five cases of fresh intertrochanteric hip fracture admitted from Jan.2004 to Jan.2006 were reviewed retrospectively.All cases were divided into three groups:group A was treated with expandable proximal femoral nail(PFN),group B was treated with dynamic hip screw(DHS),group C was treated with Gamma nail.Perioperaive indices of patients were statistically analyzed,such as operative wound,blood loss,drainage,time to get out of bed,femoral neck angle and so on.The medium-term or long-term curative effect of each treatment was assessed.Results Of three groups,group A experienced relieved operative trauma,i.e.reduced operative time and less blood loss,compared with the other two groups.In the long run group A enjoyed more excellent cases and a higher recovery rate than that in other two groups,with a significant difference in former index between groups.Conclusions Expandable PFN is superior to DHS and Gamma nail in terms of controlling operative trauma.Despite its relatively safer than intramedullary nail system,it is still essential for surgeons using expandable PFN to carefully inspect radiograph preoperatively,for the purpose of knowing the medullary dimension and avoiding excessive medullary expansion.
