Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (1): 36-39 DOI: 10.16260/j.cnki.1009-2188.2017.01.009 |
| Clinical Research |
|
|
|
|
|
| Clinical Effect on Hip Replacement with Different Prosthesis for Osteoporotic Hip Fracture |
| SHEN Xiaohui1, YANG Fei1, YU Wei1, LIU Zhigang2
|
| 1.Department of Trauma Surgery, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, China; 2.Department of Orthopedics, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, China |
|
|
|
|
Abstract ObjectiveTo discuss the clinical effects of different hip prosthesis during the hip replacement in the treatment of osteoporotic hip fractures.MethodsFrom April 2013 to December 2015, a total of 76 patients with osteoporotic hip fractures were randomized into the observation group and the control group, with 38 patients for each. All patients were carried out the hip replacement. The observation group was performed the bioprosthesis implantation, and the control group was performed bone cemented prosthesis implantation.ResultsAll patients were successfully completed the hip replacement without serious complications. Three months after the surgery, the Harris score of postoperative outcome was 92.1% and 68.4% respectively, and the postoperative complications rate such as infection, nerve injury, pulmonary infection and phlebothrombosis of lower limb was 5.3% and 28.9% respectively in the observation group and the control group, there were statistical differences between two groups (P<0.05). The hip activity of the observation group and the control group was 164.22°±22.16° and 134.24°±19.92° respectively 3 months after the surgery, both were improved obviously than 69.33°±15.29°and 71.39°±16.02°of preoperation (P<0.05). And the hip activity was better in the observation group than that in the control group (P<0.05).ConclusionCompares with the bone cement prosthesis, application of lower extremity reconstruction based on bioprosthesis fixation can improve the postoperative hip joint activities and hip function for the treatment of osteoporotic hip fractures, it also can reduce the complications and promote early rehabilitation of the patients.
|
|
Published: 25 May 2018
|
|
|
|
Corresponding Authors:
YANG Fei
|
|
|
| ［1］ |
Deangelis JP, Ademi A, Staff I, et al. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: aprospective randomized trial with early followup ［J］. J Orthop Trauma, 2012, 26(3):135140. doi: 10.1097/BOT.0b013e318238b7a5.
|
| ［2］ |
Li SS, Gao LH, Zhang XY, et al. Genetically low vitamin D levels, bone mineral density, and bone metabolism markers: a mendelian randomisation study ［J］. Sci Rep, 2016, 6:33202. doi: 10.1038/srep33202.
|
| ［3］ |
马龙. 双极人工股骨头置换对老年股骨粗隆不稳定骨折的治疗效果 ［J］. 中国实用医刊,2016,12(02):124125.
|
| ［4］ |
Han J, Hahn MH. Proximal femoral geometry as fracture risk factor in female patients with osteoporotic hip fracture ［J］. J Bone Metab, 2016, 23(3):175182. doi: 10.11005/jbm.2016.23.3.175. Epub 2016 Aug 31.
|
| ［5］ |
Inngul C, Hedbeck CJ, Blomfeldt R, et al. Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in patients with displacedfemoral neck fractures:a fouryear followup of a randomised controlled trial ［J］. Int Orthop, 2013, 37(12):24572464.
|
| ［6］ |
赵德伟, 马志杰, 杨磊, 等. 多孔钽金属涂层髋关节假体置换治疗老年股骨颈骨折的临床疗效观察 ［J］. 中华老年骨科与康复电子杂志,2016,2(02):9296.
|
| ［7］ |
段加方, 赵建生, 佟波涛. 人工关节置换充填骨水泥对血液动力学的影响 ［J］. 实用骨科杂志,2008,14(1):2728.
|
| ［8］ |
Sassoon A, D'Apuzzo M, Sems S, et al. Total hip arthroplasty for femoral neck fracture: comparing inhospital mortality,complications, and disposition to an elective patient population ［J］. J Arthroplasty, 2013, 28(9):16591662. doi: 10.1016/j.arth.2013.01.027. Epub 2013 Mar 20.
|
| ［9］ |
黄道文, 胡文浩, 魏波, 等. 骨水泥型人工半髋与全髋关节置换治疗高龄股骨颈骨折的比较 ［J］. 中国组织工程研究,2013,17（39）:70037008.
|
| ［10］ |
徐忠龙, 童培建, 马镇川, 等. GTR钢板+Ⅰ期人工股骨头置换治疗高龄不稳定型合并骨质疏松性股骨粗隆间骨折的临床观察 ［J］. 浙江临床医学,2016,18(2):314315.
|
| ［11］ |
Cosman F, Hattersley G, Hu MY, et al. Effects of AbaloparatideSC on fractures and bone mineral density in subgroups of postmenopausal women with osteoporosis and varying baseline risk factors ［J］. J Bone Miner Res, 2017, 32(1):1723. doi: 10.1002/jbmr.2991. Epub 2016 Sep 28.
|
| ［12］ |
李自强. 老年髋部骨质疏松性骨折患者的治疗 ［J］. 中华老年医学杂志,2016,35(6):619621.
|
| ［13］ |
Chang YF, Chang CS, Wang MW, et al. Effects of age and body mass index on thoracolumbar spine Xray for diagnosing osteoporosis in elderly women: Tianliao Old People (TOP) Study 07 ［J］. PLoS One, 2016, 11(9):e0161773. doi: 10.1371/journal.pone.0161773. eCollection 2016.
|
| ［14］ |
Majumdar SR, Leslie WD, Lix LM, et al. Longer Duration of Diabetes Strongly Impacts Fracture Risk Assessment: The ManitobaBMD Cohort ［J］. J Clin Endocrinol Metab, 2016, 101(11):44894496. Epub 2016 Sep 7.
|
| ［15］ |
丁继龙, 李长民, 王文正, 等. 股骨近端锁定板治疗老年股骨粗隆间骨折合并骨质疏松症32例分析 ［J］. 中国综合临床,2016,32(03):254256.
|
| ［16］ |
Cheng BH, Chen PC, Yang YH, et al. Effects of depression and antidepressant medications on hip fracture: A populationbased cohort study in Taiwan ［J］. Medicine (Baltimore), 2016, 95(36):e4655. doi: 10.1097/MD.0000000000004655.
|
| ［17］ |
王国柱, 肖斌, 孙鹏程, 等. 带大转子柄人工股骨头置换术治疗高龄股骨转子间不稳定性骨折 ［J］. 中医正骨,2016,28(5):5457.
|
| ［18］ |
於秀玲, 许超, 庞卫祥, 等. 股骨转子间骨折髓外、髓内固定失效分析及对术后康复的临床意义 ［J］. 中国现代医生, 2016,54(09):5357.
|
| ［19］ |
Maffezzoni F, Maddalo M, Frara S, et al. Highresolutioncone beam tomography analysis of bone microarchitecture in patientswith acromegaly and radiological vertebral fractures ［J］. Endocrine, 2016, 54(2):532542. Epub 2016 Sep 6.
|
| ［20］ |
张玉良, 吴宏飞, 王斌, 等. 骨水泥型与生物型假体在高龄患者全髋关节置换后早期疗效对比 ［J］. 中华老年医学杂志, 2016,35(06):622625.
|
|
|
|
