Clinical Research And Indications Of DHS, DCS And PFN Interfixation In Treatment Of Senile Femoral Intertrochanteric Fracture

Backgroud: Most intertrochanteric fracture occure in eldly inviduals. The incidence of intertrochanteric fracture is increasing, not unexpectedly, since the general life expectancy of the population has increased significantly during the last few decades. Operative treatment can decrease complication and motality rate and the paient can recover early. DHS, DCS and PFN are ideal implants for treatment of intertrochanteric fracture at present. Objective: To study the effects and indications of dinamic hip screw (DHS) , dynamic condyle screw (DCS) and proximal femoral nail, (PFN) for treatment of senile femoral intertrochanteric fracture. Materials and Methods: Tirty eightcases with femoral intertrochanteric fracture. From 2004.9 to 2006.3 in our hospital were divided to three groups according to different indications. All patients were treated surgically, nineteen with DHS , twelve with DCS and seven with PFN. Result: All the patients were followed up from six months to two years, the healing time and the function of the hip joint after operation of DHS , DCS and PFN were no obvipus difference. Conclusion: 1.The senile patients with femoral intertrochanteric fracture need surgically treatment. DHS , DCS and PFN can be good methods to the intertrochanteric fractures in the eldly, but the operation indication should be chosen strictly 2.The operation time, blood transfusion,the bleed quantity in operation,complications and the healing time of fracture of DHS and DCS were no obvipus difference; PFN has no obvipus difference in complication and the healing time of fracture with DHS and DCS, but has obvious diference in operation time, blood transfusion,and the bleed quantity in operation.3.The Harris Hip Score(HHS) have no difference after a year of operation with DHS, DCS and PFN.