Proximal femoral nail anti-rotation versus locking proximal femoral plate for osteoporotic unstable intertrochanteric fractures in senile patients

doi:10.3969/j.issn.2095-4344.2017.15.014

Abstract

Abstract:

BACKGROUND: Senile intertrochanteric fracture is characterized as aging, instability, more complications and high mortality, so choosing an appropriate internal fixation method is critical.

OBJECTIVE: To compare the curative efficacy of proximal femoral nail anti-rotation and locking proximal femoral plate for senile osteoporotic patients with unstable intertrochanteric fractures.

METHODS: Sixty elderly patients with unstable intertrochanteric fractures were enrolled, and the clinical data were collected. They were randomized into treatment and control groups (n=30 per group), and subjected to internal fixation using proximal femoral nail anti-rotation and locking proximal femoral plate, respectively. The operative indexes, functional recovery and complications were observed in the two groups

RESULTS AND CONCLUSION: (1) The incision length, operation time, intraoperative blood loss and time of weight bearing in the treatment group were significantly less than those in the control group (P < 0.01). (2) Harris hip scores in the treatment group were significantly higher than those in the control group (P < 0.05). (3) The incidence of complications in the treatment group was obviously lower than that in the control group. (4) To conclude, the proximal femoral nail anti-rotation exhibits satisfactory treatment outcomes in the internal fixation of unstable intertrochanteric fractures.

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

Key words: Femoral Neck Fractures, Osteoporosis, Internal Fixators, Tissue Engineering

CLC Number:

R318

Wang Jiang-jing, Hu Si-bin, Song Hong-hui, Cui Lu-kuan. Proximal femoral nail anti-rotation versus locking proximal femoral plate for osteoporotic unstable intertrochanteric fractures in senile patients [J]. Chinese Journal of Tissue Engineering Research, 2017, 21(15): 2372-2377.

Figures/Tables 3

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