The clinical efficacy of small incision for total hip arthroplasty on osteoporosis treatment of elder patients with fracture of the femoral neck
10.3760/cma.j.issn.1008-6315.2014.09.008
- VernacularTitle:老年股骨颈骨折患者小切口全髋关节置换术联合抗骨质疏松治疗的效果观察
- Author:
Chunbin ZHAO
;
Jianjun SONG
;
Zhanshan ZHANG
;
Shaohua PING
- Publication Type:Journal Article
- Keywords:
The elderly;
Femoral neck fractures;
Total hip replacement;
Osteoporosis;
Alendronate sodium
- From:
Clinical Medicine of China
2014;30(9):920-922
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of small incision for total hip arthroplasty on osteoporosis treatment of elder patients with fracture of the femoral neck.Methods Fifty-six elder patients with femoral neck methods were selected as our subjects,who were hospitalize from Jan.2011 to Dec.2013 in Xiahuayuan Meikuang Hospital,Zhangjiakou Company Limited.They were randomly divided into the observation group (26 cases) and control group (30 cases).All patients were treated with small incision total hip arthroplasty.The patients in the observation group were given the alendronate sodium.The curative effect,hospitalization time,bone mineral density were recorded.Results The long-term efficacy of the excellent and good rate of the observation group was 96.2％ (25/26),higher than that in control group(86.6％ (26/30)),and the difference was statistically significant(x2 =4.125,P ＜ 0.05).The length of hospitalized time in observation group was (26 ± 4) d,shorter than that in the control group (35 ± 3) d,and the difference was statistically significant(t =9.102,P ＜ 0.05).The bone density of patients in the observation group was (0.64 ± 0.03) g/cm2,higher than that in control((0.61 ± 0.05) g/cm2),and there was significant difference between two groups (t =8.461,P ＜ 0.05).Conclusion The effect of small incision total hip arthroplasty combined with anti osteoporosis drugs for the treatment of femoral neck fractures in the elderly is good and worthy of clinical usage.
