Abstract:

OBJECTIVE: To summarize the classification and features of head prosthesis and to analyze its application in treating elderly femur intertrochanteric comminuted fractures.
METHODS: Databases of PubMed and CNKI were searched by the first author using key words of “artificial femoral head prosthetic, replace, elderly patients, femur intertrochanteric comminuted fracture” both in English and Chinese. Documents published recently or in authoritative journals were preferred. A total of 29 papers were included in this paper.
RESULTS: Femoral head prosthesis had been widely used in treating femur intertrochanteric fractures. Many kinds of the femoral head prostheses, such as metal materials, macromolecular polyethylene, ceramics and carbonaceous materials have been applied in the clinic, and received good therapeutic effects. Femoral head prosthesis is one of the most effective methods for treating femur intertrochanteric comminuted fractures, but the problems including high operation risks and complications need to be solved.
CONCLUSION: Plenty of materials are involved in preparing artificial femoral head prosthesis with unique advantages and drawbacks. The composite materials are preferred in the clinic. Femoral head prosthesis is an ideal method for treating elderly femur intertrochanteric comminuted fractures.