Comparative effectiveness of PFNA and LCP for unstable intertrochanteric fractures in the elderly
10.3969/J.ISSN.1672-8270.2015.07.026
- VernacularTitle:PFNA与LCP治疗高龄股骨转子间不稳定骨折患者疗效比较研究
- Author:
Xin LIU
- Publication Type:Journal Article
- Keywords:
The elderly;
Intertrochanteric fracture;
Internal fixation;
Proximal femoral nail anti- rotation;
Proximal femoral locking compression plates
- From:
China Medical Equipment
2015;(7):78-80,81
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the surgical options of unstable intertrochanteric fractures in the elderly.Methods: Eighty two elderly patients with unstable intertrochanteric fractures were randomly divided into two groups, 41 cases were in each group, and group PFNA were treated with proximal femoral nail anti rotation (PFNA) fixation, LCP group were treated with proximal femoral locking plate (LCP) fixation, compared the operation time, bleeding and the fluoroscopy times between the two groups, all the patients were followed up for 12 months and compared fracture healing time, hip function Harris score and the excellent and good rate, and compared of the incidence rate of the internal fixation complications.Results: All the patients were successfully completed operation, there was no significant difference in the operation time and the fluoroscopy times, the bleeding volume of the LCP group was more than that of the PFNA group (t=7.419,P<0.05), the difference was statistically significant. All the discharged patients were followed up for 12 months, the fracture healing time of the PFNA group was shorter than that of the LCP group, the difference was statistically significant(t=3.016,P<0.05); Harris score of the hip joint and the excellent rate of hip joint function of the group PFNA after 12 months were better than those of the LCP group, the difference was statistically significant;The complication rate of internal fixation of the LCP group was higher than that of the PFNA group, there was no statistically significant difference (x2=1.051,P>0.05).Conclusion: PFNA internal fixation for unstable intertrochanteric fractures in the elderly is the ideal internal fixation.
