Comparative analysis on hemiarthroplasty and dynamic hip screws in treatment of osteoporotic femoral intertrochanteric fractures
- VernacularTitle:骨质疏松患者转子间骨折不同治疗方法的比较
- Author:
Jinshun YANG
;
Haoran LU
;
Wenduo HUANG
;
Shengbiao WANG
- Publication Type:Journal Article
- Keywords:
Arthroplasty,replacement,hip;
Bone screws;
Hip fractures;
Osteoporosis
- From:
Chinese Journal of Trauma
2008;24(11):884-887
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the differences between hemiarthroplaty and dynamic hip screws (DHS) by comparing their effect in treatment of osteoporotic femoral intertrochanteric fractures. Methods A retrospective study was done on 86 patients with femoral intertrochanteric fractures treated by hemiarthroplasty and dynamic hip screws respectively. After a follow-up for six months, the operation duration time, loss of ambulatory grades and prosthesis loosing were compared between two groups. Re-suits Operation was lasted for hmgcr time in DHS group, with significant difference between two groups. Loosening rate varied with different degree of osteoporosis in high-, moderate- and low-risk groups but not in hemiarthroplaty group. Internal fixators penetrating cortical bone occurred in DHS group, with inci-dence rate of 51.2%. On the contrary, no evidence proved loosening of prosthesis in hemiarthroplaty group. Conclusion For osteoporosis patients with intertrochanteric fracture, the hemiarthroplaty is a reasonable alternative to DHS device, for it can help obtain earlier and better functional recovery and less postoperative complication.
