Abstract
We compared and analyzed the operative results of compression hip screw (CHS) with those of peri-trochanteric nail (PTN) in treatment of unstable trochanteric fractures of the femur. We performed retrospective analysis of unstable trochanteric fractures of the femur using CHS on 9 cases and compared the results with those of 13 cases of PTN fixation. All cases were operated between April 2007 and March 2012 and followed for minimal 2 months. All cases were classified using the Jensen classification. The mean period of follow up were 6.3 months (2 to 12) and 5.8 months (2 to 19), respectively.
We are aiming at trying for the anatomical reduction of anterior cortical bone. We evaluated the cephalic position of the femoral head screw, the tip-apex distance (TAD), the degree of postoperative sliding, the operation time, and bleeding amount, postoperative mobility, postoperative C-reactive protein (CRP), and complications.
The average operation time was significantly shorter in the PTN group than in the CHS group. The average amount of bleeding, TAD, and postoperative sliding were significantly lesser in the PTN group than in the CHS group. However, there was no significant difference in the postoperative mobility and CRP between two groups. All cases got bone union. And there was no case of cutting out of lag screw in the two groups.
There was no statistically significant difference in the clinical results between two groups. If there was got the good anatomical reduction, there was no statistically significant difference in the clinical results in the treatment of unstable trochanteric fractures with both implants.
