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The Scientific World Journal
Volume 2013 (2013), Article ID 834825, 7 pages
http://dx.doi.org/10.1155/2013/834825
Clinical Study

Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs

Department of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, China

Received 25 December 2012; Accepted 14 January 2013

Academic Editors: M. Hedström and C. W. Oh

Copyright © 2013 Ran Tao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. Methods. Eighty-seven patients were randomised upon their admission to the hospital using a sealed envelope method. Forty-five were treated with proximal femur nail antirotation (PFNA) and 42 with reverse less invasive stabilisation system (LISS). The perioperative data were recorded and compared in relation to fracture type. Results. In each type of fractures, no significant differences were found with respect to the blood loss, the quality of reduction, the time to bony healing, and the Harris hip score between the 2 groups. The mean duration of surgery was significantly longer in reverse LISS group than in PFNA group. Conclusion. Both the PFNA and the reversed LISS are effective in the treatment of different types of intertrochanteric femur fractures. PFNA is superior to reverse LISS in terms of surgical time, weight-bearing, and perhaps fluoroscopy time.