摘要
Abstract
Objective To explore the ef ect of cemented femoral head replacement of comminuted unstable intetrochanteric fracture of femur in the elderly. Methods Cemented bipolar artificial femoral head replacements were used to treat 41 cases of interochanteric fracture of femur in the elderly from July 2007 to February 2014.According to Evans classification,23cases of the fracture were type II , 16cases were type IV and 2cases were type V.Har is Hip Score System and radiography were used to evaluate the clinical ef iciency. Results The operation time was 56~100min (average 68.6min),the intra-operative blood loss was 200~600 ml (average 280ml).The time of weight-bearing was 2-3day after the operation.41 patients were fol owed up for 6~36 months (average 24months).The hip joint function recovered wel in those patients.no varus,infection,loosening,dislocation was found. According to the six-month Har is hip function score,20 cases were excellent,17 good,3 fair,and 1 poor.The good rate was 90.2%. Conclusion Cemented bipolar artificial femoral head prosthetic replacement for the treatment of senile intertrochanteric fractures has many advantages,short operation time, weight-bearing activities earlier,functional recovery postoperatively, avoiding complications of bed-ridden, etc. The treatment is a bet er reasonable operation method to unstable intertrochanteric fracture of the femur in the elderly.关键词
骨水泥/双极人工股骨头置换/高龄/不稳定性/股骨转子间骨折Key words
Bone cement/Bipolar artificial femoral head replacement/Elderly/Instability/Intertrochanteric fracture
