Comparison of clinical efficacy of femoral calcar prosthesis replacement and intramedullary nail in the treatment of elderly patients with intertrochanteric fracture.
10.12200/j.issn.1003-0034.2020.11.006
- Author:
Qiang WANG
1
;
Yan-Kui LENG
1
;
Bin JIN
1
;
Jie LYU
1
;
Qing-Hua HU
1
;
Yong-Sheng ZHANG
1
Author Information
1. Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Jinhua 321017, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, hip;
Femoral fractures;
Fracture fixation, intramedullary;
Hip prosthesis
- MeSH:
Aged;
Aged, 80 and over;
Bone Nails;
Female;
Fracture Fixation, Intramedullary;
Hip Fractures/surgery*;
Humans;
Male;
Patients;
Quality of Life;
Retrospective Studies;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2020;33(11):1017-1022
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the clinical efficacy of hip arthroplasty with femoral calcar prosthesis and proximal femoral nail fixation(PFNA) in the treatment of elderly patients(≥80 years old) with unstable intertrochanteric fractures(Evans Ⅲ, Ⅳ).
METHODS:From June 2016 to March 2018, 60 elderly patients with unstable intertrochanteric fractures treated with prosthetic replacement and PFNA were retrospectively analyzed. According to the surgical methods, they were divided into PFNA group and prosthesis group. In PFNA group there were including 21 males and 15 females, with an average age of(84.3± 2.9) years old;in the prosthetic group, there were 10 males and 14 females with an average age of (82.9±2.4) years old. The operation time, hemoglobin difference between preoperative and postoperative 1 day, postoperative ambulation time, hospitalization time and complications were observed and compared between the two groups. Harris hip score was performed 3 and 12 months after operation.
RESULTS:All patients were followed up for 12 to 24 months (19.3±4.8) months. One patient in the prosthesis group died of lung cancer one year later and the follow-up was terminated. The operation time of prosthetic group was longer than that of PFNA group(
CONCLUSION:The elderly patients with intertrochanteric arthroplasty can reduce the burden of intertrochanteric arthroplasty and improve the quality of life.
