A comparison of three fixations for intertrochanteric femoral fractures in the elderly

賈燕飛(Jia Yanfei，Dept Peri-pelvis，2nd Affil Hosp，Inner Mongolia Med Col，Hohhot 010030)…∥Chin J Orthop Trauma.－2011，13(2).－130～134

A comparison of three fixations for intertrochanteric femoral fractures in the elderly

賈燕飛(Jia Yanfei，Dept Peri-pelvis，2nd Affil Hosp，Inner Mongolia Med Col，Hohhot 010030)…∥Chin J Orthop Trauma.－2011，13(2).－130～134

ObjectiveTo compare the efficacy of 3 internal fixations，locking proximal femoral plate(LPFP)，ASIAN IMHS and InterTAN，for intertrochanteric femoral fractures in elderly patients.MethodsA retrospective study was done to analyse 185 elderly patients who had been treated for intertrochanteric femoral fractures from February 2008 to December 2009 in our hospital and fully followed up.They were treated with LPFP(group A，95 cases)，ASIAN IMHS(group B，52 cases)and Inter-TAN(group C，38 cases).Statistical analyses were conducted to compare the 3 groups in operative time，blood loss，fluoroscopy exposure，hospital charges，intraoperative complications and functional outcome(Harris hip score).ResultsThe average follow-up was 14.5 months(from 6 to 28 months).Compared with group A，grous B and C showed significant advantages in operative time，blood loss and functional outcome but significant disadvantages in fluoroscopy exposure and hospital charges(P ＜0.05).Compared with group A，groups B and C had significant fewer implant failures(P ＜0.05).There were no significant differences in all the indexes between groups B and C(P ＞0.05).ConclusionThe ASIAN IMHS and InterTAN appear to be more reliable than LPFP for the treatment of intertrochanteric femoral fractures in the elderly.There appear to be no significant differences between ASIAN IMHS and InterTAN.9 refs，4 figs，2 tabs.

(Authors)