Abstract:

OBJECTIVE: To explore prosthesis selection and clinical treatment features of artificial joint replacement for elderly unstable intertrochanteric fracture.
METHODS: A computer-based online search of Wanfang database (http://www.wanfangdata.com.cn/) was performed for articles related to artificial joint replacement for elderly unstable intertrochanteric fracture published between January 2000 and August 2010, with key words “intertrochanteric, fracture, artificial joint, elderly” in Chinese. Repetitive study, review articles and Meta analysis was excluded. A total of 25 articles were included.
RESULTS: Prosthesis selection is very important for artificial joint replacement for elderly unstable intertrochanteric fracture. The prosthesis should be selected according to Evans standard classification and proximal femoral fracture condition. The artificial hip prosthesis is classified into three types: shaft length, i.e. lengthened shaft or common shaft; total hip prosthesis and bipolar femoral head prosthesis; cemented shaft and biological shaft prosthesis. In addition, the prosthesis should be selected according to sclerotin condition. Cemented prosthesis can obtain immediately stability following replacement, so it is recommended for most elderly patients with unstable intertrochanteric fracture.
CONCLUSION: Artificial joint prosthesis selected according to fracture type and patient condition is safe and effective in treating elderly intertrochanteric fracture, which can rapidly restore function and reduce complications.