The choice of hip fracture implants and their complications
10.3969/j.issn.2095-4344.2015.48.018
- VernacularTitle:髋部骨折植入物的选择及其并发症
- Author:
Xin WANG
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2015;(48):7811-7818
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Hip fracture is often clinical y treated by surgical, but the elderly patients due to viscera function recession are faced with the risk of postoperative secondary complications. OBJECTIVE:To summarize the research progress of hip fracture implants and its complications at home and abroad in recent years. METHODS:The articles related with hip fracture implants and its complications were retrieved from PubMed database and CNKI Chinese periodical ful-text database from January 1994 to October 2015 by the first author using computer. The English and Chinese key words were“Hip Fracture, Implants, Complications”. Total y 128 relevant documents were retrieved, and 52 met the inclusion criteria. RESULTS AND CONCLUSION:Total y 20%of patients with hip fracture wil have complications. Some of these are medical, and other relate to the surgical treatment itself. Our review expounded the two aspects of hip fracture implant complications according to different clinical classification of hip fracture. On one hand, the common complications of hip fracture surgery were explained by taking the commonly used implants in hip fracture surgery as the breakthrough point;on the other hand, the implant complications of hip fracture were explained by taking the fracture site as the breakthrough point. Common complications related to hip fracture implants were hip varus, joint dislocation, implants exit or femoral head cutting. Early surgical internal fixation, anti-thromboembolic and anti-infective prophylaxis, perioperative pain management, timely detection and control of delirium, correct urinary tract management, avoidance of malnutrition, vitamin D supplementation, osteoporosis treatment and the improvement of early functional activities are basic recommendations for an optimal maintenance of hip fractured patients. In recent years, with the increasing improvements of internal fixation technology and post-operative management, as wel as early rehabilitation intervention, more scholars advocate in an early internal fixation treatment, so as to accelerate the functional recovery of patients’ hip joint and prevent further fal s.
