Analysis on therapeutic effect on the patients of more than 70-year-old with osteoporotic hip fracture
10.3760/cma.j.issn.1673-4904.2011.29.008
- VernacularTitle:手术治疗70岁以上老年骨质疏松性髋部骨折疗效分析
- Author:
Guoqing DUAN
;
Yuanmin ZHANG
;
Xiaowei ZHAO
;
Lei WANG
;
Jinpo SUI
;
Yuge ZHANG
- Publication Type:Journal Article
- Keywords:
Aged;
Osteoporosis;
Hip fractures;
Surgical procedures,operative
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(29):24-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore.the effect of operative treatment for more than 70-year-old patients with osteoporotic hip fracture,and analyze the clinical feature,perioperative management and choices of operative treatment.Methods One hundred and fifty-nine patients of more than 70-year-old with osteoporotic hip fracture were operated from June 2007 to October 2010.Fracture type:38 cases with intertrochanteric fracture while femoral neck fracture in 121 cases.Results One hundred and thirty-five cases were followed up after operation ranging from 3 to 43 months.There were 2 cases by proximal femur nail internal fixation,13 cases by proximal femur locked plate internal fixation,15 cases by dynamic hip screwinternal fixation,48 cases by bipolar femoral head arthroplasty and 57 cases by total hip arthroplasty.The Harris scores of various surgical method above respectively were 100.0％ (2/2),76.9％ ( 10/13 ),80.0％(12/15),89.6％ (43/48),96.5％ (55/57).Conclusions The operation plays an important role in the treatment of elderly osteoporotic hip fracture,having so many advantages as earlier mobilization,less complications and better life quality.But it is important to pay attention to perioperative management and choose reasonable surgical approach according to classification of fracture.
