Analyze of the Results of Different Operative Precedures for the Elderly Femoral Intertrochanteric Fractures

Objective To compare the clinical results of different operative precedures for the erderly intertrochanteric fractures.Methods 55 cases of over 65 years old with intertrochanteric fractures were operated with three different operative methods:open reduction and fixation with anatomic plate in 15 cases,23 patients with dynamic hip screw(DHS) and 17 cases with Gamma nails;the clinical data such as operation time,amount of blood loss,hos-pitalization time and the time of walking were collected and statistically analyzed.Results All the cases were followed up for 5～36 months(mean 9 months) after operation,the excellent and good rate in A group,B group and C group were 66.7%、78.5% and 94.1% respectively.there was significant difference between Gamma nail group and anatomic plate group;in the three groups,amount of blood loss,average operation time were statistically different(P0.05).there is no significant difference in hospitalization time in the three groups.Conclusion Gamma nail comparing with the DHS and anatomic plate is the best internal fixation device for femoral intertrochanteric fractures in the aged people,its advantage is simple manipulation,shorter operative time and clinical healing time,firmer fixation and fewer blood loss;and DHS for some cases of type A1 fracture is satisfactory also.