Abstract

Objective To explore the curative effect of senile intertrochanteric fracture treated by minimally invasive locking plate. Methods Twenty-five senile patients with intertrochanteric fracture in our hospital between Feb 2013 and Feb 2015 were retrospectively analyzed. There were 11 males and 14 females, with the average age of (78±3.4) years old, Evan’s type: 5 case of type I, 8 cases of type II, 7 cases of type III, 5 cases of type IV. The femoral proximal minimally invasive internal fixation was chosen to treat intertrochanteric fractures. Postoperative observation of hospitalization days, postoperative pain assessment, hip joint activity, and walking ability were evaluated. Results After 10-21 month of follow-up (the average of 13 months), all fractures of 25 cases were healed, without fixation failure, coxa vara, or nonunion. The average hospitalization days were (11±1.4) days, the average intraoperative time was (68±10.6) minutes, the intraoperative blood loss was (106±24.2) ml, without obvious limb deformity, loose internal fixation, fracture shift, plates or screws breakage. Parker grading standard showed that the walking ability returned to (8.1±0.9) points, the pain score returned to (2.32±0.58) points after surgery. Postoperative function recovered satisfactorily. Conclusion Minimally invasive locking plate for senile femoral intertrochanteric fractures has advantages of small injury, firm fixation, high fracture heal rate, and good prognosis, which is one of ideal surgical treatment methods. Key words: Intertrochanteric fracture; Minimally invasive; Locking plate

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