Comparison of percutaneous compression plating and short reconstruction nail for treatment of intertrochanteric fracture

摘要

Objective: To compare percutaneous compression plating (PCCP) with Trigen short reconstruction nail (Trigen SRN) for the treatment of intertrochanteric hip fracture.Methods: Eighty-four patients with intertrochanteric hip fracture admitted to our hospital from January 2007 to June 2008 were included in this retrospective study. Thirty-six patients were treated with PCCP and 48 with Trigen SRN. Information regarding age, surgical time, blood loss, length of follow-up, mortality, fracture impaction, time to union, complications, Harris score and visual analog scale (VAS) were all recorded.Results: The mean follow-up time was 16.3 (+-) 3.2 months (13-19 months). The mean time to achieve radiological fracture healing was 3.6 (+-) 0.8 and 4.1 (+-) 1.0 months for the PCCP and Trigen SRN groups, respectively (P = 0.020); the mean Harris hip scores were 78.1 (+-) 4.8 and 74.1 (+-) 5.2 (P = 0.001); and the mean fracture impaction was 3.6 (+-) 2.3 and 3.3 (+-) 2.6 mm (P = 0.023). There were no statistical differences between the two groups in duration of surgery (P = 0.131) and blood loss (P = 0.268). The amount of nail in the inferior-central quadrants was greater in the PCCP group than in the Trigen SRN group.Conclusion: PCCP achieves earlier pain release and better fracture reduction than Trigen SRN.