关键词: 股骨近端锁定加压钢板, 人工股骨头置换, 股骨粗隆间骨折, 疗效

Abstract: Objective To compare the therapeutic effects of proximal femoral locking compression plate and artificial femoral head replacement in the treatment of femoral intertrochanteric fractures in the elderly. Methods Totally 78 elderly patients with femoral intertrochanteric fractures who were admitted to Tangdu Hospital Affiliated to Air Force Medical University between January 2015 and June 2018 were divided into control group (proximal femoral locking compression plate,n=46) and observation group (artificial hip replacement,n=32) according to the surgical method.Surgical indexes,bone mineral density and Harris hip scores were compared between the two groups. Results The operation time and incision length of the observation group were significantly shorter than those of the control group (P<0.05),and the intraoperative blood loss was significantly more than that of the control group (P<0.05).The postoperative recovery related indexes in the observation group were significantly better than those in the control group (P<0.05).The excellent and good rate in the observation group was 90.63%,significantly higher than 60.86% in the control group (P<0.05);After treatment,the bone mineral density and Harris hip scores of the two groups increased (P<0.05),and the increases in the observation group were significantly greater than those in the control group (P<0.05).Conclusion Artificial femoral head replacement is more effective than the proximal femoral locking compression plate in the treatment of femoral intertrochanteric fractures in the elderly.

Key words: proximal femoral locking compression plate, artificial femoral head replacementt, femoral intertrochanteric fracture in the elderly, curative effect