The Relationship Between The Integrity Of The Lateral Femoral Wall And The Curative Effect Of Unstable Femoral Intertrochanteric Fracture

Objective:By comparing the curative effect of patients with intertrochanteric fracture with risky external wall and damaged external wall treated by gamma-III standard interlocking intramedullary nail(Gamma-3),to research the relationship between the integrity of the lateral femoral wall and the curative effect of unstable fracture.Methods:From January 2013 to July 2014,56 patients with intertrochanteric fracture treated by Gamma-III were divided into two groups according to the type of fracture.There were 38 cases with risky external wall,including 20 males and 18 females with an average age of 70.7±1.3(ranged,32 to 91) years old;while 18 cases with damaged external wall,including 11 males and 7 females with an average age of 70.3±1.3(ranged,40 to 85) years old.Blood loss,operation time and Harris score after 6 months’ following up were observed and compared.Results:All patients were followed up for 6 to 12(means 10.6) months,and all patients were obtained fracture healing,and recovered walking ability as before injury.There were no significant differences in blood loss,operation time(P>0.05),but Harris score after 6 months’following up was different(P<0.05).Conclusion:Gamma-3 in treating patients with unstable intertrochanteric fracture can receive good curative effect,there is a significant relationship between the integrity of the lateral femoral wall and the curative effect of unstable fracture.