Comparison of the effect of anatomical plate and dynamic hip screw for elderly patients with intertrochanteric fracture / 中国基层医药

ABSTRACT

Objective To compare the effect of anatomical plate and dynamic hip screw(DHS) for elderly patients with intertrochanteric fracture.Methods The clinical data of medical treatments for elderly patients with intertrochanteric fracture were retrospectively analyzed.36 cases received anatomical plate treatment were selected as observation group,and 34 cases received DHS were selected as control group.Results The operation time,intraoperative blood loss,postoperative length of stay(LOS) and the time of fracture healing in observation group were obviously shorter than those in control group(t =2.18,2.35,2.31,2.15,all P ＜0.05).In observation group,3 cases appeared postoperative complications,included 2 cases of pulmonary infection,and 1 case of varus deformity of hip joint.In control group,9 cases appeared postoperative complications,included 2 cases of pulmonary infection,4 cases of varus deformity of hip joint,2 cases of limb shortening deformity,and 1 case of deep venous thrombosis of lower extremity.The incidence rate of complication of the observation group was 8.33％,which was significantly lower than 26.47％ of the control group (x2 =4.05,P ＜ 0.05).The patients were followed up for 12 to 21 months after operation,average (16.7 ±4.2)months,the excellent and good rate of the function of postoperative hip joint in the observation group was 86.11％,which was significantly higher than 64.71％ in the control group (x2 =4.36,P ＜ 0.05).Conclusion Both anatomical plate and DHS have favorable effect on old patients with intertrochanteric fracture,and anatomical plate has advantages such as short operation time,a small amount of intraoperative bleeding,short postoperative LOS,short time of fracture healing,less postoperative complication,high excellent and good rate of the function of postoperative hip joint and etc,and it is preferably suitable for the comminuted fracture which cannot be cured by DHS.