Clinical Observation Of Multidisciplinary Treatment Of Unstable Intertrochanteric Fractures In Elderly Patients

Objective: To observe the clinical efficacy of multidisciplinary treatment(MDT)for unstable intertrochanteric fractures in the elderly.Methods: The clinical data of 78 patients(80~94 years old,average(85.14±3.46)years old)with unstable intertrochanteric fracture of the femur in our department from January 2013 to July 2016 were randomly divided into groups,including 35 cases [80~94 years old,average(84.77±3.74)years old] of multidisciplinary treatment(MDT group),43 cases [80~91 years old,average(85.44±3.23)years old]without multidisciplinary treatment(control group);According to the Harris hip score of the 2 groups were compared the curative effect.At the same time,comparing the 2groups of operation rate,the preoperative waiting time,total hospitalization days,the incidence of late complications of fractures and mortality within 1 years.Results: The Harris hip score in the MDT group was higher than that in the control group 6 months after operation(P<0.05);MDT group of surgery(85.7%,30/35)was significantly higher than the control group(23.3%,10/43);The preoperative waiting time in the MDT group [(1.77±0.82)d] was shorter than that in the control group[(5.50±2.37)d](P<0.05);The total hospitalization days in the MDT group [(15.00±2.76)d] was shorter than that in the control group [(21.70 ± 6.48)d](P < 0.05);MDT group of late complications of fractures was significantly(20%,7/35)lower than the control group(90.7%,39/43);The mortality rate in MDT group within 1 years(14.3%,5/35)was significantly lower than that in control group(69.8%,30/43).Conclusion: Multidisciplinary treatment(MDT)can improve the unstable intertrochanteric fractures operation rate of patients(advanced age)and clinical effect,shorten the preoperative waiting time and total hospitalization days,and can reduce the incidence of late complications of fracture and mortality within 1 years,it is worthy of promotion application in clinical.