Comparison of percutaneous compression plating and dynamic hip screw for treating femoral intertrochanteric fractures in elderly patients

Objective: The study seeks provide a comparison between percutaneous compression plate (PCCP) fixation and dynamic hip screw (DHS) fixation for the purpose of treating fractures of the osteoporotic intertrochanteric femoral bone. Methods: Thirty-six senior patients with intertrochanteric fractures were gathered as participants for the present research, distributed under the PCCP (n = 30) group or DHS (n = 22) group between July 2011 and December 2013. Operation time, incision length, blood loss, time to fracture union, and serum hemoglobin (Hb), and albumin (Alb) levels were compared between groups. The hip scoring system used to evaluate the results was that of the Harris system. Results: A follow-through was made for all patients for the average span of 12 months with an actual range of 6 to 18 months. Compared with the DHS group, the PCCP group had shorter operative times, smaller incision lengths, and less blood loss (P < 0.05). The study noted no significant differences between groups in terms of fracture healing time or serum Hb and Alb levels. Conclusion: PCCP fixation results in superior clinical outcomes compared with DHS fixation for the stable intertrochanteric fracture treatment in elderly patients.