摘要
Abstract
Objective To observe the clinical effect of proximal femoral locking compression plate (PFLCP)and dy-namic hip screw (DHS)for treatment of elderly femoral intertrochanteric fractures.Methods A retrospective study of 108 patients with elderly femoral intertrochanteric fracture who had been treated by PFLCP (64 cases)or DHS (44 cases)was carried out.It was compared for two groups in length of wounds,operation time,volume of intraoperative bleeding,hospitalization,fracture healing time,fuction evaluation.Results 108 cases were followed up from 9 months to 18 months.There were no significant differences between two groups in length of wounds,operation time, volume of intraoperative bleeding,hospitalization(P >0.05).There were significant difference between two groups in fracture healing time (P <0.05),which was (10.2 ±2.7)weeks in PFLCP group and (12.8 ±3.5)weeks in DHS group.Excellent and good rate in PFLCP group (92.18%)were better than that in DHS group (77.27%),the difference was significant(P <0.05 ).There was significant difference between two groups regarding to the loose screws,fracture displacement,joint mobility,infections and other complications that in PFLCP group(6.25%), DHS group (18.18%)(P <0.05).Conclusions PFLCP is an effective method in the treatment of elderly femoral intertrochanteric fractures.PFLCP is simple,less periosteal stripping,reliable fixation,with better effect and fewer complications.关键词
老年人/股骨转子间骨折/动力髋螺钉/股骨近端锁定钢板/并发症Key words
aged/femoral intertrochanteric fracture/dynamic hip screw/proximal femoral locking compression plate/complications分类
医药卫生
