Mid-term follow-up analysis of bone cement or biotype hemiarthroplasty for the femoral neck fracture in the elderly patients
10.3760/cma.j.issn.1008-6315.2018.03.014
- VernacularTitle:骨水泥或生物型人工股骨头置换术治疗老年股骨颈骨折中期随访结果分析
- Author:
Yongwei WANG
1
;
Hong XU
;
Liansheng NIU
;
Sanbao HU
Author Information
1. 首都医科大学附属北京安贞医院骨科
- Keywords:
Femoral neck fracture;
Hemiarthroplasty;
Bone cement;
Biotype
- From:
Clinical Medicine of China
2018;34(3):258-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the mid-term efficacy and complications of bone cement or biotype hemiarthroplasty for the femoral neck fracture in the elderly patients.Methods From January 2011 to January 2014,sixty-seven elderly patients (67 hips) with femoral neck fracture were treated with hemiarthroplasty.All patients were treated with bipolar femoral head prosthesis,and the prosthesis included into bone cement and biologic type,according to the fixation of the femoral stem.The 3 year postoperative Harris score and surgeryrelated complications (joint dislocation,prosthesis loosening,acetabular subsidence,and mortality) were evaluated.Results All patients were followed up for 3 years.The excellent and good rate of Harris score was 87.1％ (27/31) in the bone cement group and 80.6％ (25/31) in the cementless group (X2 =0.47,P＞0.05).There was no significant difference in the complications between the two groups (P＞0.05).Conclusion The hemiarthroplasty is an effective and safe methodfor the treatment of femoral neck fracture in the elderly.The key to achieve excellent results is to choose the femoral prosthesis based on the preoperative planning and operation.
