Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (43): 8108-8111.doi: 10.3969/j.issn.1673-8225.2011.43.031

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Gamma nail versus dynamic hip screw in the treatment of intertrochanteric fractures: A Meta-anlyisis

Peng Wei-bo1, Nong Lin2, Wei Shi-zhan1, Luo Qun-qiang1, Mo Xiong-ge1, Ban Hua-deng1   

  1. 1Department of Traumatic Orthopedics, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise  533000, Guangxi Zhuang Autonomous Region, China
    2Department of Surgery, Dinghu District Hospital of Traditional Chinese Medicine, Zhaoqing  526073, Guangdong Province, China
  • Received:2011-06-19 Revised:2011-09-13 Online:2011-10-22 Published:2011-10-22
  • About author:Peng Wei-bo, Associate chief physician, Associate professor, Department of Traumatic Orthopedics, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China pengweibo121@163.com

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Abstract:

BACKGROUND: Early fixation for intertrochanteric fractures is positive and effective, and the clinical therapies for intertrochanteric fractures in the elderly are different and each has its advantages and disadvantages.
OBJECTIVE: To explore the clinical effect of Gamma nail versus dynamic hip screw in the treatment of intertrochanteric fractures.
METHODS: By searching CENTRAL (the Cochrane central register of controlled trials), Medline EMBSE, WANFANG, CBM and CNKI, we collected randomized controlled trials about the Gamma nail versus dynamic hip screw for intertrochanteric fractures. The methodological quality was assessed by using Cochrane Handbook. The data was analyzed by using statistic software Stata 11.0.
RESULTS AND CONCLUSION: Twelve trials were analyzed in the final analysis. Totally 888 patients were in the gamma nail group and 981 patients were in the dynamic hip screw group. A higher rate of postoperative femoral shaft fracture, shorter operation time and less blood loss were observed in the Gamma nail group compared with DHS group (P < 0.05); But no statistical difference was found in wound infection, operation good rate and hospital stay between the two groups. Gamma nail can shorten the operation time and reduce the amount of blood loss, but increase the risk of postoperative femoral shaft fracture.

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