Dynamic hip screw, proximal femoral anti-rotation nail and artificial hip joint replacement in repair of intertrochanteric fractures in the elderly

doi:10.3969/j.issn.2095-4344.2014.48.001

Abstract

Abstract:

BACKGROUND: For patients with unstable intertrochanteric and severe osteoporosis who cannot tolerate arthroplasty, intramedullary fixation is the first choice. For patients with elderly unstable fracture and severe osteoporosis, who can walk before surgery, and tolerate a large surgery, artificial femoral head replacement is the first choice. For patients with stable fracture and good physical status, whose osteoporosis is not serious, dynamic hip screw extramedullary fixation can be used.
OBJECTIVE: To compare and analyze clinical efficacy of dynamic hip screw, proximal femoral anti-rotation nail and hip replacement implants for treatment of intertrochanteric fractures in the elderly.
METHODS: 120 elderly patients with intertrochanteric fractures were randomly divided into dynamic hip screw group, proximal femoral anti-rotation nail group and artificial hip joint group. There were 45 cases in the dynamic hip screw group, 40 cases in the proximal femoral anti-rotation nail group and 35 cases in the artificial
hip joint group. Intraoperative blood loss, time of surgery, length of hospital stay, complications during hospitalization and the excellent and good rate of treatment were compared and observed.
RESULTS AND CONCLUSION: Operative time, intraoperative blood loss and the excellent and good rate of treatment were significantly better in the proximal femoral anti-rotation nail group than that in the other groups (P < 0.05). Moreover, the complications during hospitalization were significantly less in the proximal femoral anti-rotation nail group than those in the other groups (P < 0.05). Above data indicated that the clinical effects of proximal femoral anti-rotation nail were apparently better than dynamic hip screw and artificial hip joint in repair of elderly intertrochanteric fracture. Proximal femoral anti-rotation nail is characterized by less intraoperative blood loss, short operative time, and high surgical cure rate, and can evidently improve patient’s quality of life.

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

全文链接：

Key words: femoral fractures, internal fixators, arthroplasty, replacement, hip, postoperative complications

CLC Number:

R318

Qiu Ru-lai, Du Gui-xia, Wang Lai-jie, Zhang Fei. Dynamic hip screw, proximal femoral anti-rotation nail and artificial hip joint replacement in repair of intertrochanteric fractures in the elderly[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(48): 7709-7713.

Figures/Tables 3

References

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