Therapeutic effects of artificial femoral head replacement and internal fixation on fracture of femurs haft due to osteoporosis in the elderly and its effects on incidence of complications of patients
Abstract：Objective To investigate the therapeutic effects of artificial femoral head replacement and internal fixation on fracture of femurs haft due to osteoporosis in the elderly and its effects on incidence of complications of patients. Methods A total of 165 elderly patients with fracture of femurs haft due to osteoporosis were enrolled in the study. Accoding to different surgical methods,these patients were divided into group A,group B and group C. The patients in group A were treated by ALP surgical method,and the patients in group B were treated by artificial joint replacement,moreover,the patients in group C were treated by bone cement PFNA operation method. After operation the therapeutic effects,Harris score and incidence rates of postoperative complications were observed and compared among the three groups. Results The operation time,intraoperative blood loss, healing time,length of hospital stay in group A were significantly lower than those in group A and group B (P＜0. 05). Before operation there were no significant differences in Harris scores among the three groups (P＞0. 05),however after operation Harris scores in group C were superior to those in the other two groups (P＜0. 05). Moreover, incidence rates of postoperative complications in group C were significantly lower than those in group A and group B ( P＜0. 05). Conclusion The bone cement PFNA operation method in treatment of fracture of femurs haft due to osteoporosis in the elderly has the advantages of less operation time, less intraoperative blood loss, faster postoperative recovery, less postoperative complications,with satisfactory therappeutic effects,therefor, it should be used widely in clinical practice.
Keywords：artificial femoral head replacementinternal fixationadvanced ageosteoporosisfracture of femurs haft
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1979-1982 )