Abstract:

BACKGROUND: Dynamic hip screw (DHS), Gamma nail, and femoral proximal interlocking intramedullary nail have been used in internal fixation of femoral intertrochanteric fractures. Anatomical plate has been recently used for the treatment of femoral intertrochanteric fractures.
OBJECTIVE: To compare the therapeutic results of internal fixation by anatomical plate and DHS for treatment of femoral intertrochanteric fractures.
METHODS: Between May 2007 and June 2009, 48 consecutive patients with femoral intertrochanteric fractures were randomly assigned to anatomical plate fixation and control group (DHS fixation) with 24 cases in each group. The operative time, blood loss, walking time and hip function scores were recorded.
RESULTS AND CONCLUSION: All patients were followed up for 12.6 (range 5 to 18 months). The wound drainage and walking time was similar in two groups (P > 0.05). The mean operative time and blood loss in the experimental group were significantly lower than the control group (P < 0.05). Preoperative Harris hip score of the two groups were significantly improved postoperatively, and good and excellent was better in experimental group, but there was no significant difference between two groups (P > 0.05). Results demonstrated that internal fixation by anatomical plate is a better treatment for femoral intertrochanteric fractures compared with the traditional DHS due to its easier operation, less bleeding and similar effect.