Abstract:

BACKGROUND: Dynamic hip screw (DHS) has been widely used to treat intertrochanteric femoral fracture (IFF). Anatomical dynamic hip locking plate (ADHLP) is a novel hip internal fixation device.
OBJECTIVE: To compare and assess the treatment of IFF by ADHLP and DHS in operative time, blood loss and clinical effect.
METHODS: A total of 50 patients with IFF were selected from Department of Orthopedics, Jilin Central Hospital, who had been treated by two internal fixation operations (DHS and ADHLP). The data of two groups were collected for statistical analysis on the following aspects: operative time, blood loss, clinical healing time of fracture, postoperative complications and Harris Hip scores.
RESULTS AND CONCLUSION: The operating time of ADHLP was shorter than DHS (P < 0.05), and the intraoperative bleeding was less than DHS group (P  < 0.05). There was no significant difference in bone healing time between the two groups (P > 0.05). The excellent and good rate in Harris score was 92% (22/24) in ADHLP group, greater than in DHS group (88%, 23/26; P  < 0.05). Compared to DHS, ADHLP is a reliable internal fixation method with shorter operating time and less bleeding, less bone loss, and can be used as an effective method for IFF.