Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (52): 9750-9755.doi: 10.3969/j.issn.1673-8225.2011.52.014

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Effect of entotrochanter reduction and fixation on hip joint function of elderly intertrochanteric fracture patients with entotrochanter displacement over 2 cm: A prospective randomized controlled study

Lü Fa-ming1, Cheng Guo-jie1, Chen Ping-bo1, Li Wen-fu2, Jia Wei-dong3, Zhang Bo2, Lü Gang1, Ai Ke Ba Er1 , Yang Chun1, Rong Kai1, Hu Fei1   

  1. 1Department of Orthopedic Trauma, Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi  830000, Xinjiang Uighur Autonomous Region, China
    2Department of Orthopedics, Urumqi Hospital of Traditional Chinese Medicine, Urumqi  830000, Xinjiang Uygur Autonomous Region, China
    3Department of  Orthopedics, Urumqi First People's Hospital, Urumqi  830000, Xinjiang Uygur Autonomous Region, China
  • Received:2011-09-27 Revised:2011-10-11 Online:2011-12-24 Published:2011-12-24
  • Contact: Cheng Guo-jie, Master, Attending physician, Department of Orthopedic Trauma, Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, Xinjiang Uygur Autonomous Region, China cgjsohu.com@sohu.com
  • About author:Lü Fa-ming, Professor, Chief physician, Department of Orthopedic Trauma, Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, Xinjiang Uygur Autonomous Region, China LvfamingOK@163.com
  • Supported by:

    Project of Science and Technology Foundation of Urumqi City, No. Y09231002*

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Abstract:

BACKGROUND: It is unclear that whether intertrochanteric fracture accompanied with entotrochanter displacement over 2 cm requires reduction and fixation.
OBJECTIVE: To explore the clinical value of entotrochanter reduction and fixation of elderly intertrochanteric fracture patients with entotrochanter displacement over 2 cm.
METHODS: Seventy elderly intertrochanteric fracture patients with entotrochanter displacement over 2 cm selected from the Department of Orthopedic Trauma, Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region, from January 2010 to March 2011 were enrolled. Patients undergoing entotrochanter reduction and fixation served as experiment group (n=35) and those without reduction as control group (n=35). Intertrochanteric fracture was fixed by intramedullary system, while entotrochanter displacement was treated by wire or screw fixation. The patients were followed up at 1, 3, 6, 12 months after surgery.
RESULTS AND CONCLUSION: There was no internal fixation loosening, broken nail and infection in both groups during the follow-up. The healing time of the two groups had no significant difference (P > 0.05). The score of hip function in the experiment group was better than that in the control group at 1 month after surgery; however, at 3, 6, 12 months after surgery, the differences were non-significant. The results showed that entotrochanter reduction and fixation was suitable for elderly intertrochanteric fracture patients with entotrochanter displacement over 2 cm based on its obvious short-term effects, but patients with poor general condition were not recommended.

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