Research progress concerning artificial hip replacement for femoral intertrochanteric fractures
10.3760/cma.j.cn115530-20241230-00512
- VernacularTitle:人工髋关节置换术治疗股骨转子间骨折的研究进展
- Author:
Chen LI
1
;
Haotian QI
1
;
Shujun YU
1
;
Chang LIU
1
;
Yinguang ZHANG
1
Author Information
1. 天津大学天津医院骨科，天津 300211
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Arthroplasty, replacement, hip;
Internal fixation failure;
Revision
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(3):250-257
- CountryChina
- Language:Chinese
-
Abstract:
Intertrochanteric fractures of the femur are common hip fractures in the elderly. Their treatment goals include reducing incidence of complications, improving quality of life and increasing survival rate for the patients. Compared with traditional internal fixation, hip arthroplasty shows certain advantages in the primary treatment of intertrochanteric fractures of the femur and the revision following failure of internal fixation. It enables patients to do early weight-bearing activities to effectively improve their joint function, and reduces the risk of complications associated with long-term bed rest. However, at present, there has been no unified consensus in the academic community regarding the treatment plan of hip arthroplasty for intertrochanteric fractures of the femur. This paper mainly reviews the research progress in such aspects as indications of hip arthroplasty for primary intertrochanteric fractures of the femur and for revision after failure of internal fixation, anatomical and biomechanical characteristics of the femoral trochanter, principles for selection of types and models of joint prosthesis, key operative techniques like intraoperative fixation of bone fragments and prosthesis implantation, and methods of peri-operative comprehensive assessment.
