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| Analysis of The Dominant and Recessive Hemorrhage in Stabilizing Femoral Intertrochanteric Fractures in Elder Patients Treated with two Type Internal Fixations |
| Department of orthopedics, He ping Li Hospital of Bei Jing,Bei Jing 100038,China |
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Abstract 【Objective】To analyze the dominant and recessive blood loss in stabilizing femoral intertrochanteric fractures in elder patients treated with two types of internal fixations (DHS versus PFNA).【Methods】A total of 134 elder patients with stabilizing femoral intertrochanteric fractures treated with DHS or PFNA were selected from our hospital from January 2010 to January 2014. The total perioperative blood loss was conculated by Gross equation based on patients' heights, weights, and pre and postoperative complete blood counts. The risk factors that impact the recessive hemorrhage in elder patients with stabilizing femoral intertrochanteric fractures were analyzed.【Results】The average operation time（77.23±26.3 minutes) of DHS group was significantly longer than that (61.05±19.29 minutes) of PFNA group; the dominant hemorrhage of DHS group (141.53±79.51 mL) was markedly more than that of PFNA group (97.05±86.19 mL); the recessive blood loss（387.67±311.05）mL and total amount hemorrhage（529.20±442.24 mL) of DHS group were statistically significant less than those (655.71±492.90 mL and 752.76±597.69 mL, respectively) of PFNA group (P<0.05). There is no statistically significance of the recessive blood loss among the 4 subtypes in both DHS and PFNA groups (P>0.05); However, the recessive blood loss in each subtype of DHS group was significantly less than that of each corresponding subtype of PFNA group (P<0.05). Age, operation time, and internal fixation methods were the independent risk factors that resulted in recessive hemorrhage in stabilizing femoral intertrochanteric fractures in elder patients.【Conclusion】The complications caused by massive hemorrhage in patients older than 75 years who had stabilizing femoral intertrochanteric fractures, if DHS is used for internal fixation with shortening the operation time and intensifying postoperative cares.
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Received: 16 January 2015
Published: 26 August 2015
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