Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder

Junze Chen; Yanfen Zheng; Yongji Xing; Ye Lin; Wen Zhong

doi:doi:10.11648/j.ijcems.20200601.12

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Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder

Junze Chen, Yanfen Zheng, Yongji Xing, Ye Lin, Wen Zhong

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 6, Issue 1)

Received: 12 January 2020 Accepted: 24 February 2020 Published: 10 March 2020

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Abstract

As the average life span of the Chinese prolongs, the number of intertrochanteric fractures of the femur in elderly patients has increased all the time, and gradually becomes a more common type of fracture in elderly patients. From January 2011 to December 2016, 137 elderly patients with intertrochanteric fractures were treated with 3 mehhods, including locking plate, proximal femoral nail (PFNA) and artificial femoral head replacement. The mean age was 79.16±3.45 years. The mean follow-up time was 17.20±1.30 months. The operative time, intraoperative bleeding volume, postoperative complications, and Harris score of the hip joint at 1 month and 1 year after surgery were compared among the three groups. Statistical analysis by SPSS 22.0 software showed that the operation time of group C was the shortest, followed by group B and group A. The difference was statistically significant (p<0.05). There was no significant difference in operation time between group A and group B (p>0.05); There was no significant difference in bleeding volume between the three groups (p>0.05). Group A had the lowest complication rate, followed by group C and group B. But there was no significant difference between the three groups (X2=0.0618, p>0.05). All the patients were cured and discharged after active symptomatic treatment. Among the patients, the mean Harris score of group A was 38.52±6.51 at 1-month follow up postoperatively; the mean Harris score of group B was 44.28±5.97 at 1-month follow up postoperatively; the mean Harris score of group C was 70.59±6.99 at 1-month follow up postoperatively, the C group was the best and the B group was the second. There was a significant difference between the three groups (p<0.05). The mean Harris score of group A was 84.40±9.34 at 1-year follow up postoperatively; the mean Harris score of group B was 83.12±8.76 at 1-year follow up postoperatively; the mean Harris score of group C was 85.25±8.07 at 1-year follow up postoperatively. There was no significant difference between the three groups (p>0.05). During the follow-up period, there was no loosening or breakage in the internal fixation, and the fracture healed well. This study concluded that locking plate, PFNA or artificial femoral head replacement can achieve satisfactory clinical results in elderly patients with intertrochanteric fractures, but artificial femoral head replacement can achieve early functional recovery, more conducive to elderly patients.

Published in	International Journal of Clinical and Experimental Medical Sciences (Volume 6, Issue 1)
DOI	10.11648/j.ijcems.20200601.12
Page(s)	5-11
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Intertrochanteric Fractures, Locking Plate, Proximal Femoral Anti-rotation Intramedullary Nail, Artificial Femoral Head Replacement

References

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APA Style

Junze Chen, Yanfen Zheng, Yongji Xing, Ye Lin, Wen Zhong. (2020). Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder. International Journal of Clinical and Experimental Medical Sciences, 6(1), 5-11. https://doi.org/10.11648/j.ijcems.20200601.12

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ACS Style

Junze Chen; Yanfen Zheng; Yongji Xing; Ye Lin; Wen Zhong. Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder. Int. J. Clin. Exp. Med. Sci. 2020, 6(1), 5-11. doi: 10.11648/j.ijcems.20200601.12

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AMA Style

Junze Chen, Yanfen Zheng, Yongji Xing, Ye Lin, Wen Zhong. Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder. Int J Clin Exp Med Sci. 2020;6(1):5-11. doi: 10.11648/j.ijcems.20200601.12

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@article{10.11648/j.ijcems.20200601.12,
  author = {Junze Chen and Yanfen Zheng and Yongji Xing and Ye Lin and Wen Zhong},
  title = {Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {6},
  number = {1},
  pages = {5-11},
  doi = {10.11648/j.ijcems.20200601.12},
  url = {https://doi.org/10.11648/j.ijcems.20200601.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20200601.12},
  abstract = {As the average life span of the Chinese prolongs, the number of intertrochanteric fractures of the femur in elderly patients has increased all the time, and gradually becomes a more common type of fracture in elderly patients. From January 2011 to December 2016, 137 elderly patients with intertrochanteric fractures were treated with 3 mehhods, including locking plate, proximal femoral nail (PFNA) and artificial femoral head replacement. The mean age was 79.16±3.45 years. The mean follow-up time was 17.20±1.30 months. The operative time, intraoperative bleeding volume, postoperative complications, and Harris score of the hip joint at 1 month and 1 year after surgery were compared among the three groups. Statistical analysis by SPSS 22.0 software showed that the operation time of group C was the shortest, followed by group B and group A. The difference was statistically significant (p0.05); There was no significant difference in bleeding volume between the three groups (p>0.05). Group A had the lowest complication rate, followed by group C and group B. But there was no significant difference between the three groups (X2=0.0618, p>0.05). All the patients were cured and discharged after active symptomatic treatment. Among the patients, the mean Harris score of group A was 38.52±6.51 at 1-month follow up postoperatively; the mean Harris score of group B was 44.28±5.97 at 1-month follow up postoperatively; the mean Harris score of group C was 70.59±6.99 at 1-month follow up postoperatively, the C group was the best and the B group was the second. There was a significant difference between the three groups (p0.05). During the follow-up period, there was no loosening or breakage in the internal fixation, and the fracture healed well. This study concluded that locking plate, PFNA or artificial femoral head replacement can achieve satisfactory clinical results in elderly patients with intertrochanteric fractures, but artificial femoral head replacement can achieve early functional recovery, more conducive to elderly patients.},
 year = {2020}
}

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TY - JOUR
T1 - Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder
AU - Junze Chen
AU - Yanfen Zheng
AU - Yongji Xing
AU - Ye Lin
AU - Wen Zhong
Y1 - 2020/03/10
PY - 2020
N1 - https://doi.org/10.11648/j.ijcems.20200601.12
DO - 10.11648/j.ijcems.20200601.12
T2 - International Journal of Clinical and Experimental Medical Sciences
JF - International Journal of Clinical and Experimental Medical Sciences
JO - International Journal of Clinical and Experimental Medical Sciences
SP - 5
EP - 11
PB - Science Publishing Group
SN - 2469-8032
UR - https://doi.org/10.11648/j.ijcems.20200601.12
AB - As the average life span of the Chinese prolongs, the number of intertrochanteric fractures of the femur in elderly patients has increased all the time, and gradually becomes a more common type of fracture in elderly patients. From January 2011 to December 2016, 137 elderly patients with intertrochanteric fractures were treated with 3 mehhods, including locking plate, proximal femoral nail (PFNA) and artificial femoral head replacement. The mean age was 79.16±3.45 years. The mean follow-up time was 17.20±1.30 months. The operative time, intraoperative bleeding volume, postoperative complications, and Harris score of the hip joint at 1 month and 1 year after surgery were compared among the three groups. Statistical analysis by SPSS 22.0 software showed that the operation time of group C was the shortest, followed by group B and group A. The difference was statistically significant (p0.05); There was no significant difference in bleeding volume between the three groups (p>0.05). Group A had the lowest complication rate, followed by group C and group B. But there was no significant difference between the three groups (X2=0.0618, p>0.05). All the patients were cured and discharged after active symptomatic treatment. Among the patients, the mean Harris score of group A was 38.52±6.51 at 1-month follow up postoperatively; the mean Harris score of group B was 44.28±5.97 at 1-month follow up postoperatively; the mean Harris score of group C was 70.59±6.99 at 1-month follow up postoperatively, the C group was the best and the B group was the second. There was a significant difference between the three groups (p0.05). During the follow-up period, there was no loosening or breakage in the internal fixation, and the fracture healed well. This study concluded that locking plate, PFNA or artificial femoral head replacement can achieve satisfactory clinical results in elderly patients with intertrochanteric fractures, but artificial femoral head replacement can achieve early functional recovery, more conducive to elderly patients.
VL - 6
IS - 1
ER -

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Author Information

Junze Chen

Department of Orthopaedics, The People's Hospital of Baiyun District, Guangzhou, China
Yanfen Zheng

Department of Psychological Rehabilitation, Kunming Special Service Recuperation Center of the Army, Kunming, China
Yongji Xing

The PLA 74th Group Army Hospital, Guangzhou, China
Ye Lin

The PLA 74th Group Army Hospital, Guangzhou, China
Wen Zhong

The PLA 75th Group Army Hospital, Dali, China

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APA Style

Junze Chen, Yanfen Zheng, Yongji Xing, Ye Lin, Wen Zhong. (2020). Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder. International Journal of Clinical and Experimental Medical Sciences, 6(1), 5-11. https://doi.org/10.11648/j.ijcems.20200601.12

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ACS Style

Junze Chen; Yanfen Zheng; Yongji Xing; Ye Lin; Wen Zhong. Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder. Int. J. Clin. Exp. Med. Sci. 2020, 6(1), 5-11. doi: 10.11648/j.ijcems.20200601.12

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AMA Style

Junze Chen, Yanfen Zheng, Yongji Xing, Ye Lin, Wen Zhong. Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder. Int J Clin Exp Med Sci. 2020;6(1):5-11. doi: 10.11648/j.ijcems.20200601.12

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@article{10.11648/j.ijcems.20200601.12,
  author = {Junze Chen and Yanfen Zheng and Yongji Xing and Ye Lin and Wen Zhong},
  title = {Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {6},
  number = {1},
  pages = {5-11},
  doi = {10.11648/j.ijcems.20200601.12},
  url = {https://doi.org/10.11648/j.ijcems.20200601.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20200601.12},
  abstract = {As the average life span of the Chinese prolongs, the number of intertrochanteric fractures of the femur in elderly patients has increased all the time, and gradually becomes a more common type of fracture in elderly patients. From January 2011 to December 2016, 137 elderly patients with intertrochanteric fractures were treated with 3 mehhods, including locking plate, proximal femoral nail (PFNA) and artificial femoral head replacement. The mean age was 79.16±3.45 years. The mean follow-up time was 17.20±1.30 months. The operative time, intraoperative bleeding volume, postoperative complications, and Harris score of the hip joint at 1 month and 1 year after surgery were compared among the three groups. Statistical analysis by SPSS 22.0 software showed that the operation time of group C was the shortest, followed by group B and group A. The difference was statistically significant (p0.05); There was no significant difference in bleeding volume between the three groups (p>0.05). Group A had the lowest complication rate, followed by group C and group B. But there was no significant difference between the three groups (X2=0.0618, p>0.05). All the patients were cured and discharged after active symptomatic treatment. Among the patients, the mean Harris score of group A was 38.52±6.51 at 1-month follow up postoperatively; the mean Harris score of group B was 44.28±5.97 at 1-month follow up postoperatively; the mean Harris score of group C was 70.59±6.99 at 1-month follow up postoperatively, the C group was the best and the B group was the second. There was a significant difference between the three groups (p0.05). During the follow-up period, there was no loosening or breakage in the internal fixation, and the fracture healed well. This study concluded that locking plate, PFNA or artificial femoral head replacement can achieve satisfactory clinical results in elderly patients with intertrochanteric fractures, but artificial femoral head replacement can achieve early functional recovery, more conducive to elderly patients.},
 year = {2020}
}

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