Observation on the effect of artificial femoral head replacement surgery in the treatment of elderly patients with intertrochanteric fracture
10.3760/cma.j.issn.1008-6706.2012.06.027
- VernacularTitle:人工股骨头置换术治疗高龄股骨粗隆间粉碎性骨折疗效观察
- Author:
Zhenkui WANG
;
Taian SUN
;
Qingyong LI
;
Chengtao ZHU
;
Yonghai DONG
- Publication Type:Journal Article
- Keywords:
Femoral fractures;
Joint prosthesis;
Fracture fixation,internal;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(6):854-855
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effect of artificial femoral head replacement surgery in the treatment of elderly patients with intertrochanteric fracture.MethodsThere were 120 cases with intertrochanteric fracture according to the different surgical procedures,they were divided into the observation group with 60 cases and the control group of 60 cases.The observation group were taken hemiarthroplasty.The control group were taken dynamic hip fixation.The situations for the two groups of patients after surgery were compared.ResultsThe observation group:the blood loss was (413.6 ± 125.2) ml,operative time was (65.2 ± 9.8 ) min,ambulation time was (5.9 ± 2.3 ) d,length of stay was ( 15.6 ± 2.6 ) d,complication rate was 11.7 ％.The control group:blood loss was (440.5 ± 126.3 ) ml,operative time was (81.2 ± 12.1 ) min,ambulation time was ( 16.4 ± 4.2) d,length of stay was (25.7 ± 3.1 ) d,complication rate was 33.3％.The blood loss,operative time was not different between two groups.The ambulation time,hospital stay,complication rate were significantly different.There were statistical significance ( P ＜ 0.05 ).ConclusionThe hemiarthroplasty was safe,patients with weight-bearing take exercise early,and bed time was short,had less complications,and could achieve satisfied clinical results,it should be widely applied.
