Application Effect of Biological Prosthetic Femoral Head in Elderly Patients with Unstable Femoral Intertrochanteric Fracture
Objective:To explore the application effect of biological prosthetic femoral head in elderly patients with unstable femoral intertrochanteric fracture.Methods:69 elderly patients with femoral intertrochanteric instability fractures diagnosed and treated in Tianjin Dongli Hospital from February 2021 to October 2022 were selected as the study objects,and randomly divided into a biological group(n=35)and a bone cement group(n=34).All patients were treated with artificial femoral head replacement.The bone cement group was fixed with bone cement prosthesis,and the biological group was fixed with biological prosthesis.The prognostic effect of the two groups was compared.Results:There were no significant differences in operation time and blood loss between the two groups(P>0.05).The length of hospital stay and time of getting out of bed after surgery in the biological group were shorter than those in the bone cement group,the incidence of complications in the biological group was 2.86%,which was lower than 17.65%in the bone cement group,and the differences were statistically significant between the two group(P<0.05).14 d after surgery,the platelet aggregation index and plasma specific viscosity in two groups were higher than before surgery,but the biological group was lower than the bone cement group,the differences were statistically significant(P<0.05).3 and 6 months after surgery,the Harris hip Function Scale scores of the biological group were higher than those of the bone cement group,and the differences were statistically significant between the two group(P<0.05).Conclusion:Compared with bone cement prosthesis,the application of biotype in elderly patients with unstable femoral intertrochanteric fractures does not increase the operative time and intraoperative blood loss,and can promote the recovery of patients,reduce the occurrence of postoperative complications,improve hemodynamic indexes and hip joint function.
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