Abstract: Objective:To observe the curative effects of artificial femoral head replacement using sternal wire binding and plate fixation in the treatment of the patients with unstable intertrochanteric fracture, and to provide the basis for its treatment. Methods:A total of 52 elderly patients with intertrochanteric fracture treated with artificial femoral head replacement were divided into sternal wire binding group (the patients were given sternal wire binding of greater trochanter,n=28) and plate fixation group (the patients were given plate fixation of greater trochanter,n=24). The operation time, blood loss, the drainage volumes after operation, the time of getting off the bed first, the incidences of early complications, and the Harris scores of hip joint at the discharge time and 1 month, 3 months, 6 months and 12 months after operation of the patients in two groups were recorded. Results:Compared with plate fixation group, the operation time of the patients in sternal wire binding group was decreased (P<0.05), the blood loss of the patients in sternal wire binding group was decreased (P<0.05), but there were no significant differences in the drainage volumes after operation, the time of getting off the bed first, the incidences of complications after operation, and the Harris scores of hip joint at the discharge time and 1 month,3 months, 6 months, and 12 months after operation of the patients between two groups(P>0.05). Conclusion:Compared with plate fixation, sternal wire binding of the greater trochanter in femoral head replacement in the treatment of the patients with unstable intertrochanteric fracture has the advantages of shorter operative time, less blood loss volume,better postoperative recovery of hip joint function,which is suitable for the clinical application.

Key words: sternal wire binding, plate fixation, avulsion of greater trochanter, intertrochanteric fracture