JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2013, Vol. 51 ›› Issue (12): 92-94.

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Curative effect analysis of DHS and PFNA in treating intertrochanteric femoral fracture

ZHAN Zhen-jiang1, LI Ming1, ZHANG Yuan-kai1, BAI En-zhong2   

  1. 1. Department of Orthopeadics, Qilu Hospital of Shandong University, Jinan 250012, China;
    2. Department of Orthopeadics and Traumatologv, Feicheng Municipal Hospital of Traditional Chinese Medicine,
     Feicheng  271600, Shandong, China
  • Received:2013-08-30 Online:2013-12-10 Published:2013-12-10

Abstract:

Objective   To evaluate and compare the efficacies of proximal femoral nail anti-rotation (PFNA) and dynamic hip screw (DHS) in the treatment of senile patients with femoral intertrochanteric fractures. Methods   From Jan. 2009 to Dec. 2012, a total of 57 senile patients with femoral intertrochanteric fractures were randomly divided into the PFNA group and DHS group. The operation time, surgical incision, blood loss, hospital stay, loading time, hospitalization costs and Harris scores of the two groups were compared. Results   Patients of the PFNA group had better efficacy than those of the DHS group in operation time, surgical incision, blood loss, hospital stay, loading time and short-term Harris score(P< 0.05). There was no difference in hospitalization costs and long-term Harris score between the two groups (P> 0.05). Conclusion    PFNA has the advantages of small incision, short operation time, brief hospital stay and quick recovery, which is the ideal therapeutic method for senile patients with femoral intertrochanteric fractures.

Key words: Intertrochanteric fracture; Proximal femoral nail antirotation (PFNA); Dynamic hip screw (DHS); Senile Patients

CLC Number: 

  • R816.8
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