Observation on the effect of prosthetic replacement for the management of intertrochanteric fractures in olderly patients
10.3760/cma.j.issn.1008-6706.2013.02.006
- VernacularTitle:人工股骨头置换术治疗老年人股骨粗隆间骨折疗效观察
- Author:
Cheng FANG
;
Huaibo WANG
;
Tao JIANG
;
Yiqi LI
- Publication Type:Journal Article
- Keywords:
Femoral intertrochanteric fractures;
Arthroplasty,replacement,hip;
Elderly patients
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(2):174-175
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method and effect of prosthetic replacement for the management of intertrochanteric fracture in the elderly.Methods 24 elderly patients with intertrochanteric fracture were treated with prosthetic replacement.According to the Evans classification,there were 4 cases of Evans Ⅱ,16 Evans Ⅲ and 4 Evans Ⅳ.Results The mean time to ambulation following the surgery was (6.0 ± 2.2) days.No prosthetic loosening or infection were observed in the follow-up of 6 to 27 months(average 12 months).According to the Harris hip score,the excellent and good rate was 83.3%.Conclusion Prosthetic replacement is safe and effective for intertrochanteric fractures in elderly patients,which allows early ambulation and have a relatively low rate of complications.