Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (30): 5696-5700.doi: 10.3969/j.issn.2095-4344.2012.30.036

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Three different kinds of implant fixators for intertrochanteric fractures in old people

Zou Ming1, Bai Guang-fu1, Zhang Yan2, Li Kun2, Luo Yu-chun1   

  1. 1Wuxi Clinical College, Anhui Medical University, Wuxi 214044, Jiangsu Province, China;
    2Department of Orthopedics, the 101 Hospital of Chinese PLA, Wuxi 214044, Jiangsu Province, China
  • Received:2011-12-02 Revised:2011-12-16 Online:2012-07-22 Published:2012-07-22
  • Contact: Luo Yu-chun, Professor, Chief physician, Master’s supervisor, Wuxi Clinical College, Anhui Medical University, Wuxi 214044, Jiangsu Province, China luoyuchun101@163.com
  • About author:Zou Ming★, Studying for master’s degree, Wuxi Clinical College, Anhui Medical University, Wuxi 214044, Jiangsu Province, China Mingzou101@126.com

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Abstract:

BACKGROUND: Traditional dynamic hip screw (DHS), proximal femur nail anti-rotation (PFNA) and anatomic proximal femoral locking plate (APFLP) are used in internal fixation of intertrochanteric fractures, but now which one is best method for the treatment of intertrochanteric fractures is still controversial.
OBJECTIVE: To investigate the clinical efficacy of the DHS, PFNA and APFLP for the treatment of the intertrochanteric fractures in old people.
METHODS: Totally 159 elderly patients with intertrochanteric fractures were retrospectively analyzed. Difference of the DHS, PFNA and APFLP for the treatment of the intertrochanteric fractures was compared.
RESULTS AND CONCLUSION: ①Harris hip function score in the PFNA group was better than that in the APFLP group (P < 0.05) which was superior to DHS group (P < 0.05) at 1 week, 6 months and 1 year after surgery. ② X-ray of fracture healing in the PFNA group was better than that in the APFLP group (P < 0.05) which was superior to the DHS group (P < 0.05) at 3, 6, 12 months after surgery. It is indicated that the PFNA for the treatment of intertrochanteric fractures has many advantages in less damage, stronger fixation, simpler operation, higher fracture healing, shorter healing time, better functional recovery and so on. It is the ideal fixation for intertrochanteric fractures in old people.

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