-
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Aug 2012
Comparative Study[Effectiveness comparison of improved anterolateral approach and lateral approach in treatment of senile intertrochanteric fracture].
- Min Dai, Fan Zou, Bin Zhang, Tao Nie, Ming Cheng, Yang Zou, and Chuan Jiang.
- Department of Orthopaedics, First Affiliated Hospital of Nanchang University, Nanchang Jiangxi 330006, PR China. 413097263@qq.com
- Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Aug 1; 26 (8): 910-4.
ObjectiveTo compare the effectiveness between improved anterolateral approach and lateral approach in the treatment of senile intertrochanteric fracture.MethodsThe clinical data were retrospectively analyzed, from 61 patients with senile intertrochanteric fracture treated between February 2008 and February 2010. Of 61 patients, 34 patients underwent improved anterolateral approach combined with fixation of dynamic hip screw (improved group), and 27 patients underwent conventional lateral approach combined with fixation of dynamic hip screw (conventional group). There was no significant difference in gender, age, injury cause, Evans classification, comorbidities, disease duration, or Harris hip scores between 2 groups (P > 0.05).ResultsThe operation was successfully completed in all patients. The operation time, blood loss, perspective frequency during operation, drainage volume, hospitalization days, and out-of-bed time in the improved group were significantly less than those in the conventional group (P < 0.05). All patients were followed up 12-24 months (mean, 18.7 months). Bone union was achieved in both groups; the fracture healing time was (11.64 +/- 1.28) weeks in the improved group and was (12.29 +/- 1.12) weeks in the conventional group, showing no significant difference (t = 2.15, P = 0.15). Harris hip scores at 3, 6, and 12 months were significantly better than preoperative scores in 2 groups (P < 0.05), and significant differences were found among different time points after operation in 2 groups (P < 0.05), between 2 groups after operation (P < 0.05). There was no significant difference in the incidence of incision infection, limb shortening, coax vara, internal fixation loosening, main screw cutting-out from femoral head between 2 groups (P > 0.05), but the incidence of total complications in the improved group was significantly lower than that in the conventional group (P < 0.05).ConclusionCompared with conventional lateral approach, improved anterolateral approach has the advantages of sufficient exposure, reducing muscle damage and surgical risk in treating intertrochanteric fracture. Operating treatment of improved anterolateral approach combined with early rehabilitation after surgery can recover hip joint function as quickly as possible.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.