Clinical analysis of 3D printed total hip arthroplasty in elderly patients with acetabular fracture
10.3760/cma.j.cn431274-20191225-01461
- VernacularTitle:3D打印全髋关节置换术在老年创伤性髋臼骨折中的临床疗效
- Author:
Junjun MA
;
Erhu LI
;
Changfu LI
;
Peng ZHAO
;
Erli HAN
;
Shuchun MA
;
Zhigang MA
- From:
Journal of Chinese Physician
2021;23(1):59-62,67
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical efficacy of 3D total hip arthroplasty in elderly patients with acetabular fracture.Methods:A total of 43 patients with non-obsolete acetabular fractures admitted to Xining First People's Hospital from May 2016 to December 2018 were randomly divided into the control group (22 cases) and the observation group (21 cases) for a perspective study. The control group received routine surgery and the observation group was treated with total hip arthroplasty combined with 3D printing. The patient's operation time, intraoperative blood loss, and hospitalization time were recorded. The hip function was assessed by Harris Hip Scale (HHS) after 6 months of follow-up. The patient's quality of life was assessed using the short form 36 item health survey questionnaire (SF-36) before and 6 months after surgery. The complications of the patients during operation and follow-up were recorded.Results:The operation time, hospital stay and intraoperative blood loss were significantly lower in the observation group than those in the control group ( P<0.05). At 6 months after operation, the hip joint function of the observation group was significantly better than that of the control group ( P<0.05); the quality of life scores were significantly higher than the control group ( P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups ( P<0.05). Conclusions:3D printed total hip arthroplasty can effectively improve the operation and hip function of elderly patients with non-obsolete acetabular fracture and the quality of life of patients without increasing adverse reactions.