Phase I total hip replacement for severe hip osteoarthritis with proximal femoral fractures.
10.3969/j.issn.1003-0034.2019.05.005
- Author:
Jin-Tang LI
;
Shu-Qiang LI
1
;
Xing WANG
;
Jian LI
;
Hang GAO
;
Dong-Song LI
Author Information
1. Department of Joint Orthopaedics, No.1 Hospital of Jilin University, Changchun 130021, Jilin, China; 1656221657@qq.com.
- Publication Type:Clinical Trial
- Keywords:
Arthroplasty, replacement, hip;
Osteoarthritis, hip;
Proximal femoral fracture
- MeSH:
Aged;
Arthroplasty, Replacement, Hip;
Female;
Femoral Fractures;
Hip Prosthesis;
Humans;
Male;
Middle Aged;
Osteoarthritis, Hip;
Quality of Life;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2019;32(5):412-417
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect and prognosis of stage I total hip replacement in the treatment of severe hip osteoarthritis with proximal femoral fracture.
METHODS:From July 2014 to October 2017, 8 patients with severe end-stage hip disease and proximal femoral fracture were treated with stage I total hip replacement including 6 males and 2 females, aged 59 to 72 years old with an average age of 65 years old, involving 4 femoral head necrosis with proximal femoral fracture in the right side, 3 femoral head necrosis with proximal femoral fracture in the left side, and 1 left acetabular dysplasia with proximal femoral fracture in the left side. The average time from injury to operation was 7 days. Eight patients were treated with biologically elongated hip prosthesis.
RESULTS:Eight patients with stage I total hip arthroplasty were followed up for 12 to 48 months with an average of 31 months. During the follow-up period, there was no loosening or subsidence of the prosthesis. Harris score increased from 33 points (22 to 42 points) preoperatively to 87 points(82 to 90 points) at the last follow-up. Among them, 3 cases were excellent and 5 cases were good. Abandoned abduction and walked 3 months after operation. X-ray films during 3-6 months after operation showed that fracture healing was good, hip pain and function were improved significantly, and the quality of life was greatly improved.
CONCLUSIONS:Phase I total hip arthroplasty for severe hip osteoarthritis patients with proximal femoral fracture has the advantages of shortening the treatment time, alleviating patients'pain, reducing hospitalization costs and good prognosis.
