Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (52): 8373-8378.doi: 10.3969/j.issn.2095-4344.2015.52.002

Previous Articles     Next Articles

Cemented artificial femoral head arthroplasty treats elderly unstable intertrochanteric fracture 

Cheng Shi-gao1, 2, Wang Wan-chun2, Xiao Yang1, Huang Tun-sheng1, Xie Zhong1   

  1. 1Loudi Central Hospital, Loudi 417000, Hunan Province, China; 2the Second Xiangya Hospital of Central South University, Changsha 410000, Hunan Province, China
  • Received:2015-11-08 Online:2015-12-17 Published:2015-12-17
  • About author:Cheng Shi-gao, M.D., Associate chief physician, Loudi Central Hospital, Loudi 417000, Hunan Province, China

Abstract:

BACKGROUND: Many studies have suggested that artificial joint replacement has a greater advantage in the treatment of cases of elderly osteoporosis, comminuted fractures and unable to internal fixation or failure of internal fixation.
OBJECTIVE: To analyze the curative effect of cemented artificial femoral head arthroplasty for treatment of elderly unstable intertrochanteric fracture.
METHODS: Totally 18 patients with unstable intertrochanteric fracture, aged > 75 years, were enrolled and underwent cemented artificial femoral head arthroplasty. At 3 months after replacement, the curative effect was evaluated according to the Harris hip joint function score method. The early complications after replacement and long-term complications of prosthesis were observed by follow-up.
RESULTS AND CONCLUSION: All these 18 patients were followed up for 13 to 34 months, and had no infections, pressure sores, femoral shaft fractures and other complications. X-ray films showed that the frauture healed well, without prosthesis infection, dislocation, loosening, sinking and breaking. After 3 months of replacement, all patients returned to pre-injury level of walking function. The curative effect was excellent for eight cases, good for seven cases, fair for two cases, poor for one case. These results demonstrate that cemented artificial femoral head arthroplasty for treatment of elderly unstable intertrochanteric fracture has good biocompatibility and stability, and can restore the limb function of patients. 

 

CLC Number: