Comparative study of the treatment of intertrochanteric fractures of the aged patients with locking compression plate and dynamic hip screw

[Objective]To compare and investigate the clinical effects of two internal fixation treating methods on the treatment of intertrochanteric fracture of femur in elderly patient.[Method]Eighty-two cases of fresh intertrochanteric fracture of femur were reviewed retrospectively.All cases were divided into two groups: group A was treated with dynamic hip screw(DHS),group B was treated with LCP(locking compression plate).Perioperaive indices of patients were statistically analyzed,such as length of incision,operation time,blood loss,drainage,time in hospital,time of fracture clinical healing and postoperative complications so on.The mediumterm or longterm curative effect of each treatment was assessed.[Result]The 6-28 months follow-up were taken in 82 cases without death(16.3 months on the average).All cases had healed without delayed healing.According to Harris criterion,the joint function score in LCP group were 92.5±1.8 points on the average,DHS group were 90.8±1.7 points on the average,there were no significantly statistical differences in the joint function score and length of incision,time in hospital,time of fracture clinical healing and postoperative complications(P0.05).There were significantly short operation time and less blood loss and less drainage in group LCP than that in DHS group(P0.05).[Conclusion] We believe that the LCP and the DHS have the same clinical effect in treatment of intertrochanteric fracture of femur in elderly patient,but LCP might have advantages of less blood loss,mini-invasive,more simple operation.