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Curative effect of closed reduction and percutaneous proximal femur anatomic locking plate in treatment of senile intertrochanteric fractures
RUAN Cai-lian*
Acta Anatomica Sinica ›› 2015, Vol. 46 ›› Issue (1) : 91-93.
Curative effect of closed reduction and percutaneous proximal femur anatomic locking plate in treatment of senile intertrochanteric fractures
Objective To compare the curative effect of the dynamic hip screw (DHS) and proximal femur anatomic locking plate internal fixation (PFLP) for senile intertrochanteric fractures (IFF). Methods A total of 149 elderly patients with IFF. According to the operation way, the patients were classified as PFLP internal fixation group (75 cases) and DHS internal fixation group (74 cases). The curative effect was compared between two groups. Results The used time (81.1±6.9)min and blood loss (254.3 ± 47.9 ml) of the PFLP group were significantly less than DHS group (86.8±12.5)min and (286.1±34.7 ml) (P<0.05). Preoperative functional scores of the two groups were similar (P> 0.05). The postoperative scores after 90 days, 180 days, 360 days were 70.6±6.8, 81.5±7.3, 83.5±8.6 in the PFLP group which were significantly higher than that of DHS group (44.9±7.0, 52.7±6.3,61.5±6.9) (P<0.05). Conclusion The closed reduction and percutaneous PFLP internal fixation in the treatment of elderly patients with IFF has better curative effect.
Closed reduction / Proximal femur anatomic locking plate / Intertrochanteric fractures / Clinical anatomy / Human
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