Distal fixed biotype long-stemmed bipolar artificial femoral head replacement combined with rough reconstruction in the treatment of 32 elderly patients with unstable osteoporosis and femoral inter-carina fracture
Objective To analyze the clinical efficacy of distal fixed biotype long-stemmed bipolar artificial femoral head replacement combined with rough reconstruction in the treatment of elderly unstable osteoporotic femoral intertrochanteric fractures.Methods A retrospective analysis was performed on the clinical data of 32 patients with unstable osteoporotic femoral intertrochanteric fracture who underwent distal fixed biologic long-handled bipolar artificial femoral head replacement combined with rough reconstruction in our hospital from January 2018 to December 2021,and the operation time,intraoperative blood loss,in-cision length,time to start weight bearing,time to complete weight bearing,length difference between both lower limbs,length of hospital stay,and occurrence of complications were recorded.Postoperatively,they were evaluated according to the Harris scoring criteria.The percentage(％)was used to describe the rate of excellent hip joint function in patients at the last follow-up.Results After follow-up of(17.2±2.3)months,walkers-assisted walking began on(4.8±1.4)days after operation,and the time of full weight-bearing was(10.2±1.5)weeks.All 32 patients were completely followed up,and all cases had no dislocation,prosthesis loosening,joint infection or heterotopic ossification,and the complication rate was 21.9％,and the Harris score of hip function at the last follow-up was excellent in 29 cases,good in 2 ca-ses,and fine in 1 case with the excellent-good rate of 90.60％.Conclusion Biologic distal fixed long-stemmed bipolar artificial femoral head hemihip arthroplasty combined with rough reconstruction is an effec-tive treatment option for the treatment of elderly osteoporosis intertrochanteric femoral fractures,with a high Harris score and few complications.
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