Total hip replacement versus proximal femoral nail anti-rotation for repair of elderly intertrochanteric fracture

doi:10.3969/j.issn.2095-4344.2014.53.003

Abstract

Abstract:

BACKGROUND: The treatment options of intertrochanteric fracture in elderly patients are very difficult, internal fixation and arthroplasty have their own advantages and disadvantages. The clinical efficacy of internal fixation and arthroplasty has been compared, and total hip replacement is the preferred choice for elderly patients with intertrochanteric fractures.
OBJECTIVE: To compare the therapeutic effect and complications of total hip replacement and proximal femoral nail anti-rotation in elderly patients with intertrochanteric fracture.
METHODS: 67 elderly patients with intertrochanteric fracture were selected from Second Department of Orthopedics, Hongqi Hospital of Mudanjiang Medical College, aged 65-87 years. According to the different treatment options, the involved patients were divided into total hip replacement group (n=31) and proximal femoral nail anti-rotation group (n=36). Conventional fixation approach was performed in the two groups.
RESULTS AND CONCLUSION: The open reduction and internal fixation were successfully performed in 67 elderly patients with intertrochanteric fractures. Compared with proximal femoral nail anti-rotation group, the intraoperative blood loss was increased, Harris scores and visual analog scores were obviously improved in the total hip replacement group (P < 0.05); the postoperative bed time, medical complications and hip deformity were reduced (P < 0.05). Total hip replacement is more effective and safer than proximal femoral nail anti-rotation in treatment of intertrochanteric fracture among elderly patients.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: tissue engineering, hip joint, femur, follow-up studies

CLC Number:

R318

Ma Yu-bo. Total hip replacement versus proximal femoral nail anti-rotation for repair of elderly intertrochanteric fracture[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(53): 8542-8546.

Figures/Tables 2

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