Efficacy of Artificial Femoral Head Replacement for Unstable Intertrochanteric Fractures in Elderly Patients
Objective To investigate the therapeutic effects of artificial femoral head replacement and proximal femoral anti rotation intramedullary nail(PFNA)internal fixation for unstable intertrochanteric fractures of the femur(UITFF)in the elderly.Methods Retrospective analysis of 52 elderly patients with UITFF admitted to Affiliated Wudang Hospital of Guizhou Medical University from February 2016 to April 2023,divided into two groups according to different surgical methods,with 26 cases in each group.The control group underwent PFNA internal fixation surgery,while the observation group underwent artificial femoral head replacement surgery,with a continuous follow-up of 3 months.The perioperative indicators,Harris hip score(HHS)and complications between two groups were compered.Results The postoperative bleeding volume of the observation group was(175.74±19.62)mL,which was higher than that of the control group(110.06±20.68)mL,and the surgical time was(63.69±7.11)min,which was longer than that of the control group(58.56±5.60)min.The postoperative bed rest and hospitalization time were(8.33±1.22)d and(7.65±1.04)d,respectively,which were shorter than those of the control group's(10.44±1.75)d and(10.78±1.46)d(P＜0.05).The HHS score of the observation group after treatment was(72.75±5.66)points,which was higher than the control group's(61.45±4.78)points(P＜0.05).The incidence of complications in the observation group(7.69%)was lower than that in the control group(30.77%)(P＜0.05).Conclusion Artificial femoral head replacement has better results in the treatment of elderly UITFF,it can accelerate postoperative recovery,improve hip function,and have low risk of postoperative complications.
unstable intertrochanteric femoral fractureartificial femoral head replacementPFNA instrumentationperioperative indexhip functioncomplications
万方数据
维普
