Manual Reduction Combined With PFNA With Locking Plate Compared The Curative Effect Of Treatment Of Intertrochanteric Fracture

Objective: compare the manual reduction combined with PFNA with locking plate clinical curative effect for the treatment of intertrochanteric fracture.Methods: by retrospective analysis between September 2012 and February 2012 in our hospital orthopaedic PFNA and locking plate fixation treatment of postoperative follow-up and won 31 patients with intertrochanteric fractures. Of 51 cases, 20 cases were male, female 31 cases, aged 60 ~ 86 years old, average 76 years old. Damage reason: fall 39 cases, traffic accident injury in 12 cases. Fracture by Evans- Jensen points: â… type 9 cases,â…¡ type 11 cases, â…¢ Type12 cases,â…£ type 13 cases,â…¤ type 6cases, including 14 cases of hypertension disease diabetes 12 cases, 5 cases with cerebrovascular disease. 28 cases were treated by closed reduction and PFNA treatment(PFNA group), 23 patients were treated with proximal femoral locking plate(locking plate group), compared two groups of patients with surgical time, incision length, intraoperative blood loss and fractures in clinical healing time, postoperative function Harris hip score, surgical complications.Results: 51 patients received postoperative follow-up, 7-12 months follow-up time, the average time of 8.6 months. PFNA group: incision length is(6.2 + 1.3) cm, operation time(74.63 + 23.46) min, respectively, intraoperative blood loss for ml(25.36 45.95mm), fracture healing time(94.57 + 19.27) f days, locking plate group: incision length is(12.4 + 1.7) cm, operation time(103.21 + 25.24) min, respectively, intraoperative blood loss for ml(470.33 35.24 mm), fracture healing time bed(92.11 + 14.22) days.Index above two groups of comparison: locking plate group of patients with incision length is PFNA group leader, the operation is relatively PFNA group leader, surgicalblood loss more than PFNA group, the difference had statistical significance(P < 0.05).Two groups of fracture healing time, no significant difference(P > 0.05). Using Harris hip joint function after surgery for criteria such as locking plate group of 10 cases, 11 cases, can be in 2 case, was 91.3%; PFNA group of 13 cases, 13 cases, 2 cases, was92.8%, there was no statistically significant difference(P > 0.05), in the aspects of surgical complications: locking plate group hip varus occurred in 2 cases,postoperative PFNA group of intraoperative fracture in 1, the difference is not significant.Conclusion: by comparing the two groups: the incision length, operative time,intraoperative blood loss, the differences between the two groups was statistically significant(P < 0.05), PFNA group is superior to the locking plate group.Postoperative function Harris hip score of the two was 91.3% and 92.8% respectively,there was no statistically significant difference(P > 0.05) in a word, PFNA group compared with the locking plate in the treatment of intertrochanteric fractures, with shorter operation time, small trauma, less blood loss, more suitable for intertrochanteric fractures in elderly patients.