Abstract:
Objective To compare the effects of locking plate(LP) and dynamic hip screw(DHS) on intertrochanteric femoral fracture(IFF) by meta-analysis.
Methods A meta-analysis of papers about the effects of LP and DHS on IFF covered in CNKI,Wanfang and VIP databases from 1990 to 2011 was performed.Intra-and post-operation indications were analyzed with the Stata 10.0 software.
Results Of the 2 679 IFF patients in 33 papers included in this study,1 214(45.3%)were treated with LP and 1 465(54.7%)were treated with DHS.The function recovery rate of hip joint was higher in patients after LP treatment than after DHS treatment(OR=2.21,95% CI=1.68-2.91,z=5.69,P<0.001).The incidence of complication was lower in patients after LP treatment than after DHS treatment(OR=0.46,95% CI=0.27-0.79,z=2.80,P=0.005) while the other curative indications were superior to LP treatment than to DHS treatment.
Conclusion The effect of LP is better than that of DHS on IFF.However,the condition of patients should be considered when LP or DHS is used in treatment of IFF.