Clinical curative effect comparison of internal fixation and artificial joint replacement in treating hip fracture in elderly patients
DAI Jun
ZHAO Jian-fei
TONG Gang
Abstract：Objective To analyze the treatment effect between the internal fixation and artificial joint re-placement therapy for the elderly hip fracture .Methods The clinical data of 108 elderly patients with hip fracture who were treated in our hospital from Jan .2010 to Jun.2013 were retrospectively analyzed ,including 48 cases treated by internal fixation surgery ( the internal fixation group ) ,and 60 cases by artificial hip replacement ( the replacement group) .The general condition of the surgery and postoperative recovery of two kinds of surgery were compared and analyzed .Results The bleeding amount of patients in the replacement group was significantly increased than that of patients in the internal fixation group ,and the load time and the incidence of complications were obviously less than in the internal fixation group.The overall excellent and good rate of functional recovery in the replacement group was signif-icantly higher than that of the internal fixation group at 6 months and 12 months after surgery(P<0.05),the difference was statistically significant.Conclusion The hip arthroplasty in the treatment of senile hip fracture can effectively shorten the patients'bed time and result in early load exercise as well as better short-term clinical efficiency than internal fixation.So hip arthroplasty can be used as the preferred treatment for elderly hip fractures .
Keywords：hip fracturehip jointreplacementcurative effect
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 105-108 )