Comparison of the use of anatomical compression plate and locking compression plate for the management of old patients with intertrochanteric fractures

Abstract

Objective To compare the therapeutic effect between anatomical compression plate (ACP) and locking compression plate (LCP) in treatment of old patients with intertrochanteric fractures.Methods Selected 90 cases of intertrochanteric fractures experienced ACP internal fixation (47 cases) or LCP internal fixation (43 cases) from August 2006 to March 2011,and compare operation time,blood loss,fracture healing time,complications of the two groups.Results ACP group:operation time (98.8 ±31.2) min,blood loss (350.7 ± 123.9) ml,fracture healing time (95 ± 15) day,neck shaft angle (132.0 ± 4.9) °,cut-out (4 cases).LCP group:operation time (105.6 ± 36.3) min,blood loss (364.8 ± 119.5) ml,fracture healing time (93 ± 14) day,neck shaft angle (135.0 ± 1.5) °,cut-out (none).There was no statistical difference on operation time,blood loss,fracture healing time between the two groups (P ＞ 0.05).The difference was significant on neck shaft angle and cut-out between the two groups (P ＜ 0.01).Conclusion Compared with ACP internal fixation,LCP intemal fixation is good method for the treatment of old patients with intertrochanteric fractures. Key words: Intertrochanteric fractures ;  Old patients;  Anatomical compression plate ;  Locking compression plate