Abstract：[Objective]To explore the surgical approaches and preoperative measures of intertrochanteric femoral fracture in patients with Parkinson's disease (PD) patients .[Methods]A retrospective study was per‐formed for 19 intertrochanteric fracture patients with PD .There were 6 males and 13 females with an average age of 76 .4 (64~89) years .According to the classification scheme of Evans‐Jensen ,the fracture types wereⅡ ( n=2) ,Ⅲ ( n =4) ,Ⅳ ( n=7) and V ( n=6) .The treatments were dynamic hip screw (DHS ,n=6) and proximal femoral nail antirotation (PFNA ,n=13) .And the preoperative and postoperative scores of Har‐ris were evaluated .[Results]All patients were safe during perioperative period .The mean follow‐up period was 30 .2 (6~72) months .Operative incision healed without infection ,nerve damage or fracture complica‐tions .The average Harris scores increased from preoperative (25 .7 ± 6) (24~36) to (78 .5 ± 4 .9) (65~86) points at the last follow‐up .In DHS group ,1 case had mild claudication ,coxa vara and nail cutting femoral . And tibial tubercle traction was applied for 3 weeks and there was delayed bone healing .Better fixation was a‐chieved for PFNA group and there was no obvious sequel .[Conclusion] For femoral fracture with Parkinson disease ,a surgeon should pay close attention to treating complications and selecting proper surgical and fixa‐tion approaches to achieve rapid healing .
2015, Vol. 32 
