ABSTRACT
Objective To compare the clinical effect between proximal femoral anatomic locking plate (ALP) and proximal femoral nail anti-rotation (PFNA) in the treatment of elderly patients with intertrochanteric fracture.Methods A total of 89 elderly patients with intertrochanteric fracture were selected from January 2014 to May 2017 in the Third Affiliated Hospital of Xinxiang Medical University.The patients were divided into ALP group (n =43) and PFNA group (n =46) according to the internal fixation,the patients in ALP group were treated with ALP,and the patients in PFNA group were treated with PFNA.The effect was compared between the two groups.Results The incision length,operation time and hospitalization time in the PFNA group were significantly shorter than those in the ALP group(P ＜ 0.05),and the intraoperative blood loss and postoperative drainage volume in PFNA group were significantly less than those in ALP group (P ＜ 0.05).The fineness rate in PFNA group and ALP group was 86.96％ (40/46) and 67.44％ (29/43) respectively,and the fineness rate in PFNA group was significantly higher than that in ALP group (x2 =4.858,P ＜0.05).The incidence of complications in PFNA group and ALP group was 6.52％ (3/46) and 20.93％ (9/43) respectively,and the incidence of complications in PFNA group was significantly lower than that in ALP group (x2 =3.955,P ＜ 0.05).Conclusion The effect of PFNA and ALP in the treatment of elderly patients with intertrochanteric fractures was affirmatory.Compared with ALP,PFNA internal fixation has the advantages of less surgical trauma,short operation time,less intraoperative bleeding,quick postoperative recovery and fewer complications.