Comparative study of InterTAN and Dynamic Hip Screw in treatment of femoral intertrochanteric injury and wound.

The aim of this study is to compare the effects and complications of InterTAN nail versus Dynamic Hip Screw (DHS) in treatment of femoral intertrochanteric fractures. Between January 2006 and December 2013, a total of 75 patients with femoral intertrochanteric fractures were retrospectively reviewed. There were 16 cases of type A1, 51 cases of type A2, and 8 cases of type A3. 37 patients treated with InterTAN nail, and 38 with DHS. The clinic data of surgical trauma, postoperative function and complications were statistically compared in this study. This results indicated that 31 cases by InterTAN and 30 cases by DHS had obtained follow-up with mean time (11 ± 5.6) months. Operative time of InterTAN group is (23.1 ± 9.2) min, and of DHS group is (55.2 ± 14.5) min (P < 0.05). Intra-operative active blood loss is (70.1 ± 30.7) ml in InterTAN group, and (205.7 ± 40.7) ml in DHS group (P < 0.05). Fluoroscopy frequency of InterTAN group is (16.3 ± 4.4) times, and of DHS group is (25.1 ± 3.1) times (P < 0.05). Complications occurred in 3 cases (9.7%) in InterTAN group compared 6 cases (20%) in DHS group (P < 0.05). Two cases had hip varus in InterTAN group, and three cases in DHS group. One case had deep venous thrombosis (DVT) in InterTAN group, and one case in DHS group. In conclusion, InterTAN significantly reduce the operative time, fluoroscopy frequency, intra-operative active blood loss and postoperative complications. The InterTAN technical features make it applicable to the aged patient with variety of medical basic diseases and cases of osteoporotic and unstable fracture types.