Prospective and comparative study of functional outcome of intertrochanteric fracture of femur treated with dynamic hip screw (VS) proximal femoral nail

Khader, F Abdul; Varman, Mahendhira; Krishna, Reddy Jyothi

doi:10.22271/ortho.2021.v7.i1d.2484

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“…The conventional direct lateral hip approach is widely used in clinical practice, but it exhibits drawbacks of excessive soft tissue dissection, poor exposure, and a high incidence of postoperative complications. The direct anterior approach (DAA) provides access to the hip through the natural gap of the human body, which can reduce surgical trauma and improve reduction and fixation effects [3,4] . This study selected 18 elderly patients with irreducible intertrochanteric fractures to compare and analyze the clinical effects of the direct anterior approach and the direct lateral approach.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study on the Treatment Efficacy of Direct Anterior Approach and Direct Lateral Approach for Irreducible Intertrochanteric Fractures in the Elderly

Qin,

Feng,

Zhang

et al. 2023

BAS

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Purpose: To explore the clinical effects of the direct anterior approach (DAA) and the direct lateral approach in elderly patients with irreducible intertrochanteric fractures. Methods: A retrospective analysis method was used to collect samples of 18 elderly patients with irreducible intertrochanteric fractures of the femur admitted to our hospital from January 2020 to January 2023, and they were divided into a study group (n = 9) and a control group (n = 9) according to different surgical plans. Both groups of patients underwent internal fixation with proximal femoral nail anti-rotation (PFNA). The patients in the control group were treated through the direct lateral approach, and those in the study group were treated using DAA. The surgical conditions, recovery conditions, and indicators of postoperative complications were compared between the two groups. Results: The operation time and intraoperative blood loss of the study group were lower than that of the control group (P < 0.05); there was no significant difference in the degree of hip flexion and extension recovery between the two groups after surgery, as well as the functional scores (P > 0.05); the study group had a lower incidence of complication than the control group (P < 0.05). Conclusion: Compared with the direct lateral approach, the DAA to the hip joint in elderly patients with irreducible intertrochanteric fractures can shorten the operation time, reduce intraoperative blood loss, and shorten the recovery period of joint function. With a satisfactory prognosis and low incidence of complications, it can be promoted and applied in medical institutions.

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Section: Introductionmentioning

confidence: 99%