Abstract
Objective To study the clinical efficacy in treatment of elderly patients with intertrochanteric fracture by the hollow nail plus DHS, or Gamma nail, or PFNA. Methods 150 cases of elderly patients with intertrochanteric fracture, according to three kinds of different fixation methods, were randomly divided into the hollow nail plus DHS group (54 cases), Gamma nail group (51 cases), and PFNA group (45 cases). Results According to Harris criteria scores, the rate of excellent and good effects in PFNA and Gamma nail groups are superior to that in hollow nail plus DHS group, the anterior postoperative functional recovery is also good; and the rate of excellent and good effects in PFNA group and Gamma nail group was no significant difference (P> 0.05). The bleeding volume, postoperation pain and failure ratio of internal fixation in Gamma nail and PFNA groups are less than that in hollow nail plus DHS group (P<0.05). Conclusion The methods of Gamma nail and PFNA fixation are simple, fixed firmly, less bleeding and excellent efficacy in treatment of elderly patients with intertrochanteric fracture, especially the unstable fracture of the intertrochanteric fracture. Key words: Intertrochanteric fracture; Internal fixation
Published Version
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