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| Observation of the comparison between proximal femoral nail anti-rotation and proximal locking plate in the treatment of gerontism unstable intertrochanteric fracture |
| SI Rong-fei LI Yuan-geng |
| Department of orthopedics,Wafangdian Central Hospital in Liaoning Province,Wafangdian 116300,China |
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Abstract ObjectiveTo compare the effect of proximal femoral nail anti-rotation and proximal locking plate in the treatment of gerontism unstable intertrochanteric fracture.Methods76 cases clinical data of gerontism unstable intertrochanteric fracture patients treated in our hospital from March 2012 to April 2017 were analyzed,and divided into proximal femoral nail anti-rotation group and proximal locking plate group by different fixed mode,38 cases in each group.The operation condition,clinical curative effect,costoperative complications of the two groups were compared.ResultsThe operative incision length,operation time,intraoperative blood loss,intraoperative drainage volume,hospital days,postoperative weight-bearing time,fracture union time of proximal femoral nail anti-rotation group were less than those of proximal locking plate group.The clinical treatment excellent rate(94.3%)of proximal femoral nail anti-rotation group was higher than that of proximal locking plate group(78.9%),the costoperative complications(5.3%)of proximal femoral nail anti-rotation group was lower than that of proximal locking plate group (26.3%),the differences were statistically significant(P＜0.05).ConclusionIn the treatment of the gerontism unstable intertrochanteric fracture patients by proximal femoral nail anti-rotation group,the injury is little,excellent rate is high,costoperative complications is less,and it is worth to be used.
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