Double-action hemiarthroplasty versus total hip arthroplasty for intertrochanteric fracture in the elderly

doi:10.3969/j.issn.2095-4344.2015.22.008

Abstract

Abstract:

BACKGROUND: Doubld-action hemiarthroplasty and total hip arthroplasty are reliable methods to treat intertrochanteric fracture of femur in the elderly, but which is better remains controversial in the clinic.
OBJECTIVE: To observe the practical effect of prosthetic replacement with different methods in treatment of intertrochanteric fracture of femur in the elderly, and to assess the clinical value.
METHODS: A total of 54 elderly patients with intertrochanteric fracture of femur at the age of over 65 years old were randomly assigned to two groups. In the observation group (n=27), patients underwent graded cement double-action arthroplasty. In the control group (n=27), patients received cementless total hip arthroplasty. They were followed up for 2 years. Harris scores were recorded in the two groups so as to assess the therapeutic effects. Follow-up recurrence rate, adverse events and host response to materials were analyzed.
RESULTS AND CONCLUSION: The therapeutic effects were similar between the observation and control groups (89%, 81%; P > 0.05), but recurrence rate of 2-year follow-up was significantly lower in the observation group than in the control group (4%, 30%; P < 0.05). Moreover, dislocation, acetabular wear and loosening were not found. Results indicate that the midterm effects were similar between graded cement double-action arthroplasty and total hip arthroplasty in treatment of intertrochanteric fracture in the elderly, but graded cement double-action arthroplasty significantly decreases the recurrence rate.

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

Key words: Arthroplasty, Replacement, Hip, Hip Fractures, Hip Prosthesis

CLC Number:

R318

Niu Cun-liang. Double-action hemiarthroplasty versus total hip arthroplasty for intertrochanteric fracture in the elderly [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(22): 3482-3486.

Figures/Tables 4

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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