Comparison of proximal femoral intramedullary nail and hip arthroplasty in the treatment of intertrochanteric fracture / 中国组织工程研究

ABSTRACT

BACKGROUND:Intertrochanteric fracture is often found in osteoporotic elderly patients, the commonly used treatment includes intramedul ary and extramedul ary fixations, and joint replacement. OBJECTIVE:To compare the clinical effect of proximal femoral intramedul ary nail and hip arthroplasty in the treatment of intertrochanteric fracture. METHODS:198 patients of intertrochanteric fracture recruited from Heze Municipal Hospital from August 2009 to August 2013, were divided into two groups. Each group had 99 patients, receiving proximal femoral intramedul ary nail and hip arthroplasty, respectively. RESULTS AND CONCLUSION:The average operation time, intraoperative blood loss and hospital stays in the proximal femoral intramedul ary nail group were significantly shorter, while the healing time of fracture was significantly longer than that in the hip arthroplasty group. At postoperative 1 year, there was no statistical difference in the Harris score, the excel ent and good rate of hip function, and the overal incidence of complications between the two groups. Experimental findings indicate that, both proximal femoral intramedul ary nail and hip arthroplasty are biocompatible and effective in the treatment of intertrochanteric fracture, and each technique has their advantages and disadvantages, we should choose the proper technique according to the patient’s condition.