Effect of different internal fixation devices on intertrochanteric fractures

Area of Science:

• Orthopedic Surgery
• Trauma Management
• Biomedical Engineering

Background:

• Intertrochanteric fractures are common in elderly patients, often requiring surgical intervention.
• Internal fixation methods aim to stabilize the fracture site and facilitate early mobilization.
• Comparing different fixation techniques is crucial for optimizing patient outcomes.

Purpose of the Study:

• To compare the postoperative recovery effects of intramedullary fixation versus extramedullary fixation for intertrochanteric fractures.
• To identify the optimal internal fixation method for clinical application in treating intertrochanteric fractures.

Main Methods:

• Retrospective analysis of 100 patients with intertrochanteric fractures.
• Patients were divided into two groups: intramedullary fixation (n=43) and extramedullary fixation (n=57).
• Data collected included operation time, incision length, hospitalization duration, and complication rates (reduction loss, coxa vara, infection, non-union).

Main Results:

• The intramedullary fixation group demonstrated a higher overall response rate (88.37% vs. 85.96%).
• Significantly better Harris hip joint scores (88.3±5.3 vs. 62.3±4.2) and balance ability were observed in the intramedullary group at six months post-intervention.
• The intramedullary group exhibited reduced inflammatory markers (high-sensitive C-reactive protein, procalcitonin) one week post-surgery.

Conclusions:

• Intramedullary fixation significantly enhances postoperative functional recovery and fracture healing in patients with intertrochanteric fractures.
• Intramedullary fixation offers a superior fixation effect compared to extramedullary fixation for this patient population.
• This study supports intramedullary fixation as the preferred method for clinical practice in managing intertrochanteric fractures.