Bone cement and bone grafting in nail path to strengthen dynamic hip screw fixation for senile osteoporotic intertrochanteric fracture
10.3969/j.issn.2095-4344.2015.26.019
- VernacularTitle:骨水泥、钉道植骨强化动力髋螺钉固定修复老年骨质疏松性股骨转子间骨折
- Author:
Zhousheng LIN
;
Hongtao SUN
;
Xiongzhi XIA
;
Cheng JIANG
;
Feimeng LI
- Publication Type:Journal Article
- Keywords:
Tissue Engineering;
Osteoporosis;
Bone Density;
Bone Transplantation
- From:
Chinese Journal of Tissue Engineering Research
2015;(26):4197-4201
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:In dynamic hip screw fixation for treating aged osteoporotic intertrochanteric fracture, avoiding the loss of bone mass, or by other means that can increase the fixed screw pulout strength, wil improve the therapeutic effect of dynamic hip screw fixation. OBJECTIVE: To compare the effects of three kinds of repair methods on aged osteoporotic intertrochanteric fracture. METHODS:Data of aged osteoporosis intertrochanteric fracture patients, who received conventional dynamic hip screw fixation, bone cement augmentation with dynamic hip screw fixation and bone grafting with dynamic hip screw fixation, were retrospectively analyzed. They were divided into control group, bone cement group and bone grafting group. RESULTS AND CONCLUSION:After two years of folow-up, the excelent and good rates of Harris hip function were 95%, 80% and 70% in the bone grafting, bone cement and control groups, respectively. The healing time of fractures was significantly shortened in the bone grafting group (P < 0.05). The failure of screw fixation was similar between the bone grafting and bone cement groups. Screw withdrawing appeared in the control group. Results suggest that compared with conventional dynamic hip screw fixation and bone cement augmentation with dynamic hip screw fixation, the therapeutic effect and safety of bone grafting in nail path with dynamic hip screw fixation were better.
