Clinical efficacy of cemented long stem prosthesis for intertrochanteric fractures in elderly patients

CHANG Ji-hui; LUO Bin; LUO Jian

Abstract：Objective To compare and analyze the clinical effect of cemented long stem prosthesis with proximal femur locking compression plate for intertrochanteric fractures in elderly patients . Methods Forty pa-tients with stable intertrochanteric hip fractures from Jun .2008 to Jun.2013 in our hospital were selected and divided into cemented long stem prosthesis group and locking compression plate (LCP)group,with 20 patients in each group. The general surgery conditions ,Harris score before surgery and 6 months after surgery ,postoperative weight-bearing time and incidence of surgical complications of two groups were compared .Results The operation time,incision length,blood loss,postoperative drainage ,hospital stay and healing time of the cemented long stem prosthesis group were significantly lower than those in the LCP group ,P<0.05.Harris score in both groups 6 months after surgery were significantly higher than those before treatment , and Harris score of the cemented long stem prosthesis group was significantly higher than that of the LCP group ,P<0.05.The postoperative weight-bearing time of the cemen-ted long stem prosthesis group was significantly shorter than that of the LCP group ,P<0.01.The incidence of post-operative complications had no significant difference ,P>0.05.Conclusion Cemented long stem prosthesis for in-tertrochanteric fractures for elderly patients has a smaller surgical risk and better postoperative recovery , which is worthy of clinical application .