Analysis of the operative timing of minimally invasive surgery in the treatment of femoral intertrochanteric fracture in elderly

ObjectiveTo explore the clinical effects of different operative timing on postoperative outcome of femoral intertrochanteric fracture in elderly patients.

MethodsSeventy-eight femoral intertrochanteric fracture patients treated with proximal femoral nail antirotation(PFNA) internal fixation were divided into the observation group and control group.The operations in observation group and control group were performed within 48 h and after 48 h of fracture, respectively.The operative time, intraoperative blood loss, hospitalization time, hospitalization expense, postoperative hip function score(Harris score) and incidence rate of postoperative complication between two groups were compared.

ResultsThe hospitalization time and expense in observation group were significantly less than those in control group(P < 0.01).There was no statistical significance in the operative time, intraoperative blood loss and incidence rate of postoperative complication between two groups(P>0.05).The differences of the good rates of the recovery of hip joint function between two groups were not statistically significant after 1, 3 and 6 months of operation(P>0.05).

ConclusionsThe operation effects within 48 h and after 48 h of femoral intertrochanteric fracture in elderly patients are the same, which can shorten the hospitalization time, and reduce the economic burden of patients.