Comparison of proximal femoral intramedullary nail and hip arthroplasty in the treatment of intertrochanteric fracture

doi:10.3969/j.issn.2095-4344.2015.13.003

Abstract

Abstract:

BACKGROUND: Intertrochanteric fracture is often found in osteoporotic elderly patients, the commonly used treatment includes intramedullary and extramedullary fixations, and joint replacement.
OBJECTIVE: To compare the clinical effect of proximal femoral intramedullary nail and hip arthroplasty in the treatment of intertrochanteric fracture.
METHODS: 198 patients of intertrochanteric fracture recruited from Heze Municipal Hospital from August 2009 to August 2013, were divided into two groups. Each group had 99 patients, receiving proximal femoral intramedullary nail and hip arthroplasty, respectively.
RESULTS AND CONCLUSION: The average operation time, intraoperative blood loss and hospital stays in the proximal femoral intramedullary nail group were significantly shorter, while the healing time of fracture was significantly longer than that in the hip arthroplasty group. At postoperative 1 year, there was no statistical difference in the Harris score, the excellent and good rate of hip function, and the overall incidence of complications between the two groups. Experimental findings indicate that, both proximal femoral intramedullary nail and hip arthroplasty are biocompatible and effective in the treatment of intertrochanteric fracture, and each technique has their advantages and disadvantages, we should choose the proper technique according to the patient’s condition.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Hip Fractures, Femoral Fractures, Bone Nails, Arthroplasty, Replacement, Hip

CLC Number:

R318

Li Xian-jun. Comparison of proximal femoral intramedullary nail and hip arthroplasty in the treatment of intertrochanteric fracture[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(13): 1979-1983.

Figures/Tables 1

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