Effect of delayed surgical treatment of femoral intertrochanteric fracture complicating by preoperative lower extremity venous thrombosis

Abstract

Objective To observe the effect of delayed surgical treatment of femoral intertrochanteric fracture complicating by preoperative lower extremity venous thrombosis. Methods From January 2014 to July 2017, 21 patients with femoral intertrochanteric fracture and preoperative lower extremity venous thrombosis were treated, in whom 18 patients underwent delayed surgical treatment and 3 patients underwent conservative treatment. For patients undergoing delayed surgical treatment, the fractures were treated at 7-14 days after making plaque stable, improving circulation, anticoagulation, and bone traction, and femoral intertrochanteric fractures were treated with PFNA minimally invasive internal fixation. Results All patients were followed up for 6 to 12 months, and the fractures all healed. According to the Harris hip score, the functional recovery was excellent in 4 cases, good in 12 cases, fair in 1 case, and poor in 1 case, with the excellent and good rate of 85.7%. There were no perioperative death in this group of patients. Conclusion Femoral intertrochanteric fracture complicating by preoperative lower extremity venous thrombosis is treated with delayed PFNA internal fixation. The postoperative recovery is good and it is a feasible treatment. Because of the high risk of surgery in such patients, full preoperative assessment is needed to reduce the risk of surgery. Key words: Intertrochanteric fracture; Lower extremity venous thrombosis; Internal fixation