Old femoral neck fractures with senile osteoporosis: choice of femoral prosthesis according to femoral calcar-medullary cavity ratio

doi:10.3969/j.issn.2095-4344.2015.17.002

Abstract

Abstract:

BACKGROUND: Old femoral neck fractures with senile osteoporosis have more surgical difficulties. There are a lot of intraoperative and postoperative complications and long-term effects are poor.

OBJECTIVE: To explore the clinical outcomes of hip arthroplasty in patients with old femoral neck fractures with senile osteoporosis.

METHODS: From October 2012 to July 2014, 20 patients with old femoral neck fractures and senile osteoporosis were enrolled in this study. Posterolateral approach was used to perform hip arthroplasty. Of them, 14 patients received primary total hip arthroplasty with biological prosthesis, and 6 patients were subjected to semi-hip arthroplasty with straight shank cylindrical renovated biological prosthesis.

RESULTS AND CONCLUSION: The patients were followed up for 3 to 24 months. Harris score was apparently increased after arthroplasty in patients with old femoral neck fractures and senile osteoporosis compared with pre-arthroplasty. Postoperative radiographs revealed that femoral stem biological fixation was good. Bone fixation was visible in radiographs at 3 months after arthroplasty. These findings suggested that old femoral neck fractures and senile osteoporosis could be treated with hip arthroplasty. To select the type of prosthesis and surgical methods according to the femoral calcar-medullary cavity ratio in patients with old femoral neck fractures and senile osteoporosis can effectively restore the function of hip joint.

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: Femoral Neck Fractures, Arthroplasty, Replacement, Hip, Hip Prosthesis, Osteoporosis

CLC Number:

R318

Zhu Xu-ri, Sun Guang-quan, Liu Xin, Chen Guo-qing, Du Bin. Old femoral neck fractures with senile osteoporosis: choice of femoral prosthesis according to femoral calcar-medullary cavity ratio[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(17): 2631-2636.

Figures/Tables 4

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