Objective To compare the effect of bipolar long-handle femoral head replacement and percutaneous compression plate in elderly patients with unstable intertrochanteric fractures.Methods 100 elderly patients with unstable intertrochanteric fracture of femur admitted from January 2019 to October 2021 were included and divided into group A and Group B using random number table method,with 50 patients in each group.The group A was given bipolar long-shank prosthetic femoral head replacement and the group B was given percutaneous compression plate.The operation conditions,Harris functional at each postoperative time point and postoperative complications were compared between the two groups.Results Compared with the group B,the operation time,intraoperative blood loss,time of first postoperative landing and incidence of postoperative complications in the group A were significantly lower than those in the group B(P<0.05).At 1,3,6 and 12 months after the operation,the Harris score in the two groups was significantly increased(P<0.05).At 1,3 and 6 months after operation,the Harris score in the group A was significantly higher than that in the group B(P<0.05).Conclusion Compared with percutaneous compression plate,bipolar long-shank femoral head replacement has a better effect on improving the operative status and hip function in elderly patients with unstable intertrochanteric fractures and reducing postoperative complications.
Bipolar long-shank prosthetic femoral head replacementPercutaneous compression plateUnstable intertrochanteric fractures
万方数据
维普
