A medium term analysis on of therapeutic effects of bio-lengthend stem hemiarthroplasty in the treatment of unstable osteoporotic intertrochanteric fractures in elderly patients.
10.12200/j.issn.1003-0034.2023.07.012
- Author:
Jian-Li FANG
1
;
Hua-Jie LIN
1
;
Hong-Kan LOU
1
;
Yong JIN
1
Author Information
1. Traditional Chinese Medical Hospital of Ningbo, Ningbo 315016, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, hip;
Femoral fractures;
Hip fractures;
Osteoporosis
- MeSH:
Male;
Female;
Humans;
Aged;
Aged, 80 and over;
Arthroplasty, Replacement, Hip;
Hemiarthroplasty;
Quality of Life;
Retrospective Studies;
Treatment Outcome;
Hip Fractures/surgery*;
Osteoporotic Fractures/surgery*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(7):658-661
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To retrospectively study medium term follow up outcomes effects of effect of bio-lengthend stem hemiarthroplasty in the treatment of unstable osteoporotic intertrochanteric fractures in elderly patients.
METHODS:Total of 32 elderly patients with the osteoporotic intertrochanteric fractures were treated with bio-lengthend stem hemiarthroplasty from Jan. 2016 to Jan. 2019 including 14 males and 22 females, aged from 85 to 95 years old with an average of (89.5±4.5) years old. According to classification of Evans, there were 12 cases with type Ⅲ, 11 with type Ⅳ and 9 with type Ⅳ. The time from injury to operation ranged from 0.5 to 9 days with an average of (4.5±3.9) days. The operation time, blood loss and postoperative complications were analyzed. Functional outcome was assessed by Parker Palmer mobility score(PPMS) and Harris hip score.
RESULTS:Four patients died within one year after operation, and the mortality was 12.5%. The follow up time for the rest 28 patients ranged from 24 to 60 months with an average of (28.5±4.5) months. The mean operative time was (54.2±22.5) min;the mean blood loss (hidden blood loss+obvious blood loss) was (450±140) ml;the first weight bearing was (3.35±1.35) days. No perioperative death occurred. PPMS were(6.63±1.25), (6.94±1.18), (7.11±0.83), (7.32±1.11) and Harris scores were(67.85±6.19), (71.42±5.57), (73.41±5.62), (77.32±5.24) respectively at 1, 3, 6 months and the final follow-up after operation. There were no significant difference in PPMS and Harris score at 1, 3, 6 months after operation and the final follow-up(P>0.05). There were no complications such as joint dislocation and prosthesis loosening occure at the final follow-up.
CONCLUSION:On the premise of strictly mastering the case selection criteria, the bio-lengthend stem hemiarthroplasty in the treatment of unstable osteoporotic intertrochanteric fractures in elderly patients has a satisfied medium term follow-up outcomes. It can restore hip function in the early stage and improve the quality of life of patients.
