Complication of two intramedullary nail treatments of osteoporotic intertrochanteric fractures

doi:10.3969/j.issn.2095-4344.2015.13.025

Abstract

Abstract:

BACKGROUND: Dynamic hip screws have developed in recent years, and proximal femoral nail anti-rotation modified by the Association for the Study of Internal Fixation has been widely applied in clinics. Their efficacy has been well recognized.
OBJECTIVE: To analyze and compare the complications of proximal femur intramedullary nail and proximal femoral nail anti-rotation treatments in elderly patients with osteoporotic intertrochanteric fracture.
METHODS: Seventy elderly patients with osteoporotic intertrochanteric fracture were selected from the People’s Hospital of Yucheng City between June 2012 and June 2014. Patients were randomly divided into two groups: control group and experimental group, with 35 cases in each group. Control group was given proximal femur intramedullary nail treatment, while experimental group was given the proximal femoral nail anti-rotation treatment. The operation time, intraoperative blood loss, fracture healing time, postoperative complications and
hip Harris score were compared in two groups.
RESULTS AND CONCLUSION: The operation time in the experimental group was significantly shorter than that in the control group (t=2.88, P < 0.05). The postoperative complication rate was 26% in control group and 9% in experimental group, with significant differences in the two groups (χ2 = 4.77, P < 0.05). Both proximal femur intramedullary nail and proximal femoral nail anti-rotation have few trauma and strong fixation for the treatment of osteoporotic intertrochanteric fractures, and proximal femoral nail anti-rotation has a shorter operation time and reduces postoperative complications.

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: Femoral Fractures, Osteoporosis, Internal Fixators, Bone Nails, Fracture Healing

CLC Number:

R318

Yu Yan-yong. Complication of two intramedullary nail treatments of osteoporotic intertrochanteric fractures[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(13): 2103-2107.

Figures/Tables 3

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