Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (35): 6643-6646.doi: 10.3969/j.issn.1673-8225.2011.35.043

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Treatment for intertrochanteric fractures in elderly patients Percutaneous compression plating system versus dynamic hip screw system

Jing Cheng-wei1, 2, Ni Dong-kui1, Zheng Dao-ming1, Wang Pei2, Zhu Fu-liang1, Pang Xiao-jian1   

  1. 1Department of Orthopedics, the Second Hospital of Tianjin Medical University, Tianjin  300211, China
    2Department of Orthopedics, the General Hospital School of Tianjin Medical University, Tianjin  300052, China
  • Received:2011-05-21 Revised:2011-06-22 Online:2011-08-27 Published:2011-08-27
  • About author:Jin Cheng-wei☆, Studying for doctorate, Attending physician, Department of Orthopedics, the Second Hospital of Tianjin Medical University, Tianjin 300211, China; Department of Orthopedics, the General Hospital of Tianjin Medical University, Tianjin 300052, China dr1722@163.com

Abstract:

BACKGROUND: Expectant treatment for intertrochanteric fractures in elderly patients with osteoporosis and other chronic diseases can easily lead to complications of lying in bed.
OBJECTIVE: To evaluate the results of percutaneous compression plating system (PCCP) for intertrochanteric fractures in elderly patients.
METHODS: Thirty-two cases of elderly intertrochanteric fractures treated with PCCP admitted from June 2007 to June 2009 and 40 cases of elderly intertrochanteric fractures treated with dynamic hip screw system (DHS) were reviewed. The operative bleeding, operative time and curative effect were compared.
RESULTS AND CONCLUSION: The operative bleeding and operative time in the patients receiving PCCP were significantly lower than those in the patients receiving DHS. There was not statistical significance between the curative effects about the two methods. PCCP applied in elderly patients with intertrochanteric fracture can get satisfactory effects, and the system is operated simply with minimally invasive surgery, which is beneficial to reduce surgical complications. 

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