Volume 29, Issue 3
DOI: 10.24205/03276716.2020.720
Long-term Clinical Observation of 120 Cases of Senile Osteoporotic Intertrochanteric Fractures
Abstract
Objective To investigate the long-term clinical observation of 120 cases of senile osteoporotic intertrochanteric fractures treated with proximal femoral nail.
Methods A total of 120 patients with senile osteoporotic intertrochanteric fractures from November 2013 to March 2018 were enrolled in the study. According to the random number table method, 60 patients were divided into the control group and the observation group. The observation group was treated with the proximal femoral anti-rotation intramedullary nail, and the control group was treated with dynamic hip screw. The surgical indexes of the two groups were compared. The hip joint function was performed before and 3 months after operation and 12 months after operation. The postoperative complications were compared and the quality of life of the two groups was compared.
Results There was no significant difference between the two groups (P>0.05). There was no significant difference in the operation time between the two groups (P=0.253). Compared with the control group, the observation group had less blood loss, hospitalization time and fracture. The healing time was short and the difference was statistically significant (P=0.001, 0.002, 0.003). Compared with the control group, the excellent rate of the observation group was higher at 3 months and 12 months after operation, and the difference was statistically significant (P<0.05). Compared with the control group, the incidence of postoperative complications was lower in the observation group, and the difference was statistically significant (P=0.012). Compared with the control group, the scores of PF, BP, VT, SF and MH in the postoperative observation group were higher, the difference was statistically significant (P<0.05); the scores of RP, GH and RE were not statistically significant (P>0.05). Conclusion The treatment of senile osteoporotic intertrochanteric fractures with proximal femoral nails can effectively reduce postoperative blood loss, shorten fracture healing time, significantly improve hip function, reduce complications, and improve quality of life.
Keywords
femoral intertrochanteric fracture; proximal femoral anti-rotation intramedullary nail; elderly patients; osteoporosis