Abstract: 【Abstract】〓Objective〓To analysis of anatomical dynamic hip locking plate (ADHLP) and cannulated compression screw in treatment of Evans I femoral intertrochanteric fractures in the elderly, comparing their advantages and disadvantages. Methods〓Thirty-eight elderly patients with Evans I intertrochanteric fracture treated and followed up in our hospital from Mar 2008 to May 2014, were selected and allocated by the ADHLP group (n=19) and the cannulated compression screw group (n=19) according to the surgical procedure. The operation duration, amount of bleeding, clinical healing duration after operation, Harris score and complications were observed in the two groups. Results〓The patients in cannulated compression screw group showed less bleeding, shorter operation time, but longer clinical healing time and higher Harris scores than those in ADHLP group (P<0.05). Conclusion〓ADPHL and cannulated screw approaches display their respective advantages in treatment of the elderly with intertrochanteric fractures EvansⅠ if the patients can tolerate the operation.

Key words: Anatomical dynamic hip lock plate, Cannulated compression screws, Elderly, Intertrochanteric fracture, EvansⅠ

摘要： 【摘要】〓目的〓分析用解剖型髋动力带锁钢板(ADHLP)与加压空心钉治疗老年股骨粗隆间EvansI型骨折的治疗效果,比较两者的优缺点。方法〓回顾性分析我院自2008年03月至2014年05月收治的并获随访的老年股骨粗隆间Evans I型骨折患者38例,采用ADHLP组与加压空心钉组各19例,观察两组手术时间、出血量、临床愈合时间、手术后Harris评分等指标。结果〓加压空心钉组手术时间较短、术中及术后出血量较少(P<0.05),但ADHLP组临床愈合时间短(P<0.05),术后12个月Harris评分高(P<0.05)。结论〓在老年股骨粗隆间EvansⅠ型骨折患者耐受手术条件下,选择ADPHL与加压空心钉治疗各有优势。

关键词: 解剖型髋动力带锁钢板, 加压空心钉, 老年, 股骨粗隆间骨折