Efficacy analysis of two kinds of internal fixation method of treating subtrochanteric femoral fractures
Objective To evaluate and compare the clinical effects of treatment of subtrochanteric femoral fractures with locking proximal femurs plate and dynamic hip screw. Methods From Mar. 2006 to Dec. 2009,twenty one cases with subtrochanteric femoral fractures were fixed with LPFP.and seventeen cases with subtrochanteric femoral fractures were fixed with DSH. The results were obtained for 36 cases,and followed up from 9~26 months with an average of 17. 1 months. Follow-up period has not seen the avascular necrosis. According to Russell-Taylor classification,8 eases were in type I A, 16 cases in type Ⅰ B, 7 cases in type Ⅱ A, 5 cases in type Ⅱ B . Results The two groups of intraoperative average blood loss, operation time, X-ray exposure time, fracture clinical healing time have significant differences(P<0. 01). But there was no significant differences(P>0. 05) in the length of stay and the e-valuation of postoperative hips function, there was significant statistically differences in preventing postoperative hip turn inward form (P<0. 05). Conclusion Compared with the fixation with DHS ,the fixation of subtrochanteric femoral fractures with LPFP has small trauma,less blood loss, less radiography time, easy to operate, fixed reliable, helpful for fracture healing etc, and is an ideal method in treating subtrochanteric femoral fractures.
NETL
NSTL
万方数据
维普
