Proximal femoral locking plate fixation for obsolete intertrochanteric fracture in old patients / 中国组织工程研究

ABSTRACT

BACKGROUND:The cases of obsolete intertrochanteric fractures in the elderly are rare, and therapeutic manners are diverse such as plate fixation, intramedulary fixation and joint replacement. These methods have their own advantages and disadvantages. OBJECTIVE:To observe therapeutic effects of proximal femoral locking plate for obsolete intertrochanteric fracture in old patients. METHODS: This study retrospectively analyzed 16 patients with obsolete intertrochanteric fracture at the age of 58-72 years, who were recruited from Second Department of Orthopedics, Changde Municipal First People’s Hospital in China from January 2009 to December 2012. There were 10 males and 6 females with an average age of 67.3 years old. Among 16 cases, there were 12 cases caused by fal injury and 4 cases caused by traffic accident. The patients underwent open reduction + anatomic locking plate fixation at proximal femur in 4-25 weeks after injury, with an average of 6.7 weeks. C-arm X-ray machine was used for checking the reduction and fixation in al operations. RESULTS AND CONCLUSION: Reduction and fixation of al cases were satisfactory. Wounds were healed primarily and stitches were taken out on schedule. They were folowed-up for 6-32 months. There were excelent in 11 cases, good in 4 cases and average in 1 case according to Harris score system with an excelent and good rate of 94%. Bone healing was observed in al patients, and no fixation loosening was found. These results indicated that using proximal femoral locking plate combined with bone graft in old patients with obsolete intertrochanteric fracture is an effective treatment. It can get good functional recovery of hip joint.