Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (35): 6508-6513.doi: 10.3969/j.issn.2095-4344.2012.35.010

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Cementless lengthened-handled hip joint replacement for the treatment of unstable intertrochanteric fractures in elderly people

Liu Chao1, Peng Hao1, Yin Dong2, Xu Shun-en1   

  1. 1Department of Orthopedics, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China;
    2Department of Orthopedics, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China
  • Received:2012-02-01 Revised:2012-03-15 Online:2012-08-26 Published:2012-08-26
  • Contact: Yin Dong, Doctor, Master’s supervisor, Department of Orthopedics, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China tanjin2002@163.com
  • About author:刘超★，男，1987年生，湖北省洪湖市人，汉族，武汉大学第一临床学院在读硕士，主要从事创伤与关节方面的研究。 liuchaoguke@qq.com

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Abstract:

BACKGROUND: The healing of unstable intertrochanteric fractures in elderly people is poor after internal fixation, and fixation with ordinary hip replacement is unstable, so a new therapeutic means is needed to solve this problem.
OBJECTIVE: To study the curative effect of cementless lengthened-handled hip joint replacement on the treatment of unstable intertrochanteric fractures in elderly people.
METHODS: From January 2004 to September 2011, 26 cases of unstable intertrochanteric fractures in the hospital were cured with cementless lengthened-handled hip joint replacement. The artificial hip joint was the lengthened-handled hip joint from Zimmer with a good biocompatibility.
RESULTS AND CONCLUSION: All patients were followed-up for 2 to 5 years and 6 months. The results of this surgical method were satisfied, all patients could walk early without hip pain, and the joint function was good. Life quality of these patients was improved obviously. The Harris score of the hip joint of these 24 cases after two years follow-up revealed that 9 cases had excellent therapeutic result, 11 cases were fine, 3 cases were ordinary, and 1 case was bad. The excellent and good rate was 83%. One case appeared artificial joint dislocation sinking. This method of cementless lengthened-handled hip joint replacement for the treatment of unstable intertrochanteric fractures had got satisfied results. Patients treated with this surgery could walk early and conducive to the early recovery exercise. So it is a relatively safe and effective treatment method for treating unstable intertrochanteric fractures in elderly.

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