Clinical efficacy of biological type long handle artificial femoral head replacement in treatment of elderly femoral intertrochanteric fractures
ZHUANG Wei-ping
ZHANG Qin
WANG Cheng
XIE Chao-shan
LIU Guang-hui
Abstract：Objective To evaluate the clinical efficacy of biological type long handle artificial femoral head replacement in elderly intertrochanteric fractures. Methods From Mar.2011 to Mar.2014,32 cases of elderly intertrochanteric fractures were treated by biological type long handle artificial femoral head replacement, including 14 males and 18 females;with the average age of 81.6 years(ranging from 75 years to 89 years).According to improved classification of Evans-Jensen,there were 24 cases with type Ⅲ fracture and 6 with type Ⅳ and 2 with type Ⅴ.Fracture healing and hip joint function during the follow-up were evaluated. Results Thirty-two cases were followed up for 10 months to 24 months(15.6 months on average ).During the follow-up period, no hip varus, no loose prosthesis handle displacement or breakage, no dislocation or failure such as nonunion occurred.The function of the hip was graded by the system of Harris and the excellent and good rate was 93.75%(excellent in 22 cases, good in 8 cases, and fair in 2 cases). Conclusion The long handle artificial femoral head replacement is safe and effective for treating elderly patients with intertrochanteric fractures.
Keywords：femoral intertrochanteric fractureartificial femoral headhip jointreplacementelderly
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 610-612 )