A Comparison on Curative Effect of Different Methods in Treatment of Senile Femoral Intertrochanteric Fractures

Objective To evaluated the clinical effects of different methods in treating femoral intertrochanteric fracture in aged patients.Methods 106 cases were treated with dynamic hip screw(DHS,38 cases),angular plate(13 cases),external fixator(11 cases),Gamma or proxima1 femora1 nai1(PFN,19 cases),locking compress plat(LCP,17 cases),artificial femoral head(8 cases) in 149 aged patients with femoral intertrochanteric fracture.There were no significant difference in general data between all groups(P0.05).Results All the cases were followed up for 10.2±2.1 months.Surgical and non-surgical groups were significant differences in out-of-bed time,the Harris hip score and after operative complications(P0.05).There were significant difference between the external fixator and LCP group and the other four groups(DHS;angular plate;Gamma or PFN and artificial femoral head) in the incision length,operation time,blood loss and drainage(P0.05).There were no significant difference in out-of-bed time in surgical groups(P0.05).LCP and the external fixator groups were significantly different in the Harris hip score and after operative complications(P0.05).Conclusion The operative treatment had some superiority.LCP was the best internal fixation device for femoral intertrochanteric fractures in the aged people,its advantage was simple manipulation,shorter operative time and clinical healing time,firmer fixation and fewer blood loss and LCP for typeⅣ/Ⅳ fracture was also a satisfactory method.