Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (48): 8977-8980.doi: 10.3969/j.issn.1673-8225.2011.48.012

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Treatment of unstable femoral intertrochanteric fractures in elderly patients with total hip replacement: A follow-up of 53 cases in the same institution

Peng Hao, Ma Jin   

  1. Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan  437300, Hubei Province, China
  • Received:2011-04-22 Revised:2011-06-30 Online:2011-11-26 Published:2011-11-26
  • Contact: Ma Jin, Master, Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan 437300, Hubei Province, China the_doors@qq.com
  • About author:Peng Hao☆, Doctor, Chief physician, Professor, Doctoral supervisor, Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan 437300, Hubei Province, China penghao5868@163.com

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Abstract:

BACKGROUND: The success rate of internal fixation for treatment of unstable femoral intertrochanteric fractures in elderly patients is not high.
OBJECTIVE: To observe the treatment effect of total hip replacement on unstable interochanteric fractures in elderly patients.
METHODS: Sixty-nine patients over 70 years old with unstable femoral intertrochanteric fracture were involved. Total hip replacement was performed as the primary treatment in all patients. The postoperative complications, mortality rate, Harris hip score, time to return to normal activities of the patients were taken after replacement. 
RESULTS AND CONCLUSION: Sixteen patients were out of follow-up. Over seven patients died one year after replacement. The Harris hip score was (66±7) at 1 month, (72±6) at 3 months, (74±5) at 1 year, and (76±6) at 3 years. The Harris hip score of 27 patients was (76±8) at 5 years after replacement. Average time to return to normal daily activities of the patients was 28 days. No loosening or infection of the implants was observed. Total hip replacement is a valid treatment option for unstable femoral intertrochanteric fractures in elderly patients. This procedure can offer quick recovery through the reduction of mechanical risk, avoid the risk associated with internal fixation, and enable the patients a good level of functions immediately after surgery.

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