The efficacy comparison of proximal femoral nail and proximal femoral locking plate in the treatment of the femoral intertrochanteric fractures

Objective: To compare the clinical effects of proximal femoral nail( PFN) and proximal femoral locking plate( PFLP) in the treatment of the femoral intertrochanteric fractures. Methods: Seventy-one patients with femoral intertrochanteric fractures were divided into PFN group( 39 cases) and PFLP group( 32 cases) according to their different internal fixation Methods. According to Evans classification， there were 31 cases of type Ⅰ，Ⅱ fractures and 40 cases of type Ⅲ to Ⅴ fractures. The operative time，blood loss，bone healing time， complications and Harris Hip Score of two groups were compared. Results: All cases were primary healing， and followed up for 9 to 14 months. The differences of the blood loss，bone healing time and Harris Hip Score of patients with type Ⅰ，Ⅱ fractures in two groups were not statistical significance( P ＞ 0. 05) . The blood loss of patients with type Ⅲ to Ⅴ fractures in PFN group was significantly lower than that in PFLP group( P ＜ 0. 01) . Conclusions: The effects of PFN and PFLP in the treatment of type Ⅰ，Ⅱ fractures have no significant difference， the effect of PFN in the treatment of type Ⅲ to Ⅴ fractures are better than that of PFLP.