Curative effects of cemented hemiarthroplasty versus proximal femoral nail anti-rotation for treatment of intertrochanteric fractures of cerebral infarction hemiplegia side in older adults

doi:10.3969/j.issn.2095-4344.0611

Abstract

Abstract:

BACKGROUND: Cemented hemiarthroplasty and proximal femoral nail anti-rotation in the treatment of senior intertrochanteric fractures both can achieve good clinical curative efficacy, but intertrochanteric fractures of senior cerebral infarction hemiplegia side is a special type. For the surgical treatment program, there are still many disputes.

OBJECTIVE: To compare the clinical outcomes between cemented hemiarthroplasty and proximal femoral nail anti-rotation placement for the patients with intertrochanteric fractures of senior cerebral infarction hemiplegia side.

METHODS: A retrospective analysis of 61 patients with intertrochanteric fractures of senior cerebral infarction hemiplegia side admitted in Affiliated Hospital of Chengde Medical University from October 2013 to January 2017 was performed. The subjects were divided into two groups according to different treatment methods: cemented hemiarthroplasty group (n=29) and proximal femoral nail anti-rotation group (n=32). The operation time, intraoperative blood loss, hemoglobin difference before and after operation, postoperative bed time, incidence of perioperative complications, and Harris scores at 6 months and 1 year postoperatively were compared between groups.

RESULTS AND CONCLUSION: (1) Compared with the proximal femoral nail anti-rotation group, the operation time was significantly lengthened, intraoperative blood loss was significantly increased, and the Harris scores at 6 months postoperatively were significantly increased in the cemented hemiarthroplasty group (P < 0.05). (2) The hemoglobin difference before and after operation, postoperative bed time, incidence of perioperative complications, and Harris scores at 1 year showed no significant differences between two groups (P > 0.05). (3) These results indicate that compared with proximal femoral nail anti-rotation, cemented hemiarthroplasty for the treatment of the patients with intertrochanteric fractures of elderly cerebral infarction hemiplegia side has a better recovery of hip function in a short time, but its operation time is longer and the amount of intraoperative blood loss is more, and there was no significant difference in hemoglobin difference before and after operation, bed rest time, perioperative complications, and long-term hip function recovery between the two methods.

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: Hip Fractures, Brain Infarction, Arthroplasty, Replacement, Tissue Engineering

CLC Number:

R459.9

Wan Qian, Yang Xiaohua, Zhang Qingzhu, Feng Zhen, Gu Rui. Curative effects of cemented hemiarthroplasty versus proximal femoral nail anti-rotation for treatment of intertrochanteric fractures of cerebral infarction hemiplegia side in older adults[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(35): 5590-5595.

Figures/Tables 4

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