Carbon-coated artificial femoral head replacement for unstable and osteoporotic femoral fractures in the elderly

doi:10.3969/j.issn.2095-4344.2015.35.001

Abstract

Abstract:

BACKGROUND: Elderly patients are more prone to unstable and osteoporotic fractures. In the clinical surgical treatment, different programs can be taken. Internal fixation was done previously. However, the precise choice of the methods of unstable and osteoporotic femoral fractures in the elderly was still controversial.
OBJECTIVE: To investigate the clinical effect of carbon-coated artificial femoral head replacement in the treatment of elderly patients with unstable and osteoporotic femoral fractures.
METHODS: A retrospective analysis was performed in the Honghui Hospital Affiliated to Health Science Center, Xi’an Jiaotong University from February 2013 to February 2014 in 83 cases of unstable and osteoporotic femoral fractures. These patients were divided into control group (42 cases) and observation group (41 cases) according to treatment methods. Conventional internal fixation and artificial femoral head replacement were conducted. Operation time, intraoperative blood loss, postoperative bed time and hospital stay were observed in the two
groups. Patients were followed up for 12 months. Recovery of hip function and complications were observed and compared between the two groups.
RESULTS AND CONCLUSION: No significant difference in operation time and intraoperative blood loss was detected between the observation group and the control group (P > 0.05). Postoperative bed time and hospital stay were significantly shorter in the observation group than in the control group (P < 0.05). The excellent and good rate of hip joint function was significantly higher in the observation group than in the control group, but the complication rate was significantly lower in the observation group than in the control group (P < 0.05). These findings suggest that carbon-coated artificial femoral head replacement for unstable and osteoporotic femoral fractures in the elderly obtained good repair effects, had small injury to the patient and less complications. Moreover, it can better improve hip function.

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: Femoral Fractures, Osteoporotic Fractures, Hip Prosthesis, Internal Fixators

CLC Number:

R318

Zhang Zheng-ping, Chang Zhen, Zhao Qin-peng. Carbon-coated artificial femoral head replacement for unstable and osteoporotic femoral fractures in the elderly[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(35): 5577-5582.

Figures/Tables 6

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