Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (17): 3098-3102.doi: 10.3969/j.issn.1673-8225.2011.17.015

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Curative effect of dynamic hip screw versus locking compression plate on femoral intertrochanteric fractures in senile patients

Liu Chun-jie, Zhang Wei-zeng, Chu Peng-cheng   

  1. Department of Orthopedics, the Sixth People’s Hospital of Linfen City, Linfen  041000, Shanxi Province, China
  • Received:2011-01-11 Revised:2011-03-21 Online:2011-04-23 Published:2011-04-23
  • About author:Liu Chun-jie, Attending physician, Department of Orthopedics, the Sixth People’s Hospital of Linfen City, Linfen 041000, Shanxi Province, China liuchunjie1968@126.com

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Abstract:

BACKGROUND: Dynamic hip screw (DHS), Gamma nail, and femoral proximal interlocking intramedullary nail have been used in internal fixation of femoral intertrochanteric fractures. Which one is better is still controversial.
OBJECTIVE: To evaluate the difference between DHS and locking compression plate (LCP) in treating femoral intertrochanteric fractures in the elderly.
METHODS: From June 2007 to March 2010, 96 cases of senile femoral intertrochanteric fracture treated with DHS (n=48) and LCP (n=48) were selected. The operative time, blood loss, fracture healing time and hip function scores were recorded.
RESULTS AND CONCLUSION: Compared with the DHS group, the operation time and fracture healing time was shorter and the volume of blood loss was fewer in the LCP group (P < 0.01). The joint function was better in the LCP group than the DHS group (94.6%, 87.9%, P < 0.01). The findings of the study show that LCP is a simple, microinvasive, stable internal fixation treatment with reasonable biomechamical characteristics and rapid fracture healing, especially for osteoporosis or senile patients.

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