The Clinical Study Of Lesser Trochanter Reduced And Fixed In The Treatment Of Unstable Femoral Intertrochanteric Fracture With DHS

Objective:To compare the clinical effect of lesser trochanter reduced and fixed or not in the treatment of unstable femoral intertrochanteric fracture with DHS in order to offer basis on choosing the proper treatment method in clinic.Method:To choose 60 cases of unstable femoral intertrochanteric fracture treated in Zhangzhou hospital of TCM from February 2006 to February 2007.They all tallied with the criterion that should be subsumed or eliminated.We divided them into two groups randomly with the random number table.Then one group of 30 cases was treated with DHS adding lesser trochanter reduced and fixed,the other with DHS only.To compare and analyse the clinical effect of two different methods in the common conditions,operative procedure,the complications and the functional evaluation of hip joint.The statistical analysis was performed by SPSS13.0.Result:All the patients were followed.There were no significant difference between two groups in the volume of blood transfusion during operation,the volume of drainage after operation and the complications(P＞0.05).The operation time were 79.58±4.98 minutes for the group of lesser trochanter reduced and fixed,70.94±4.59 minutes for the group of lesser trochanter not reduced and fixed.There were significant difference between two groups(P＜0.05).The blood loss during operation were 421.43±97.24 milliliters for the group of lesser trochanter reduced and fixed, 356.30±73.55 milliliters for the group of lesser trochanter not reduced and fixed. There were significant difference between two groups(P＜0.05).According to the Harris's hip functional standard score,the scores were 86.67±4.05 for the group of lesser trochanter reduced and fixed,81.57±6.75 for the group of lesser trochanter not reduced and fixed.There were significant difference between two groups(P＜0.05). Conclusion:1,There were no statistical difference in two groups in the volume of blood transfusion during operation,the volume of drainage after operation and the complications.2,The group of lesser trochanter reduced and fixed is longer in the operation time,more in the blood loss during operation and better in the function of hip joint.3,It is very important to reduce and fix lesser trochanter for unstable femoral intertrochanteric fracture treated with DHS.