Applications Of Many Kinds Of Fixation Methods In Elderly Patient With Intertrochanteric Fracture

Objective:Comparison of dynamic hip screw(DHS),Asian-type proximal femoral nail(PFNA)and proximal femoral intramedullary nail locking plate(LPFP)the clinical efficacy of the treatment of intertrochanteric fractures for intertrochanteric fracture fixation methods Study selection and provide references.Subjects and Methods:Our hospital orthopedic fracture patients from inter-November 2011 to November 2014 inpatient surgical treatment of intertrochanteric.Patients aged between 60-85 years of age,surgical approach for the DHS,PFNA and LPFP fixed,causes of injury is injury,exclude pathological fractures.Selected patients were followed for recording and timely follow-up methods include medical records,telephone follow-up,review records,etc.,for special cases the use of meaningful follow-up on-site,excluding those who were lost,and finally selected a total of 102 patients.Results:1,three mean operative time,intraoperative blood loss between any two statistical analysis,the results were statistically significant differences(P <0.05),LPFP group intraoperative blood loss up to the amount of operation the longest,PFNA group of patients the least amount of blood loss,DHS operative time,intraoperative blood loss in between;2,three times the average weight for the first time,were statistically analyzed between healing time twenty-two,PFNA group differences with the other two sets of results were statistically significant(P <0.05),DHS group LPFP group compared with no significant difference(P> 0.05)PFNA group load first time at least,the shortest healing time,DHS group and the group almost LPFP;3,the three groups in the fracture of no significant comp lications do not(P> 0.05).Each month postoperative Harris hip score by chi-square test,P <0.05 was considered statistically significant,after three months,six months,one year,P> 0.05,the difference was not statistically significant.Conclusion:PFNA patients treated with shorter operative time,less intraoperative bleeding.Recently curative effect of PFNA was better than DHS and LPFP.