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| Effect on hip replacement in treatment of intertrochanteric fracture with severe comminuted displacement in elderly patients |
| LI Guijian LIU Peijuan LUO Jiawu SHEN Xuehao |
| Department of Orthopedics, Nanxiong People's Hospital, Guangdong Province, Nanxiong 512400, China |
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Abstract Objective To the effect of hip replacement in elderly patients with severe intertrochanteric fractures with severe comminuted displacement. Methods From June 2014 to June 2016, in Department of Orthopedics, Nanxiong People's Hospital, 94 elderly patients (≥60 yeras old) with intertrochanteric fractures were selected, and they were divided into two groups according to different surgical methods, 45 patients underwent internal fixation were as control group, 49 patients underwent hip replacement were as test group. The prognosis (fracture healing time, postoperative joint activity time) of the two groups of patients were compared, the overall curative effect was evaluated by Harris score, the postoperative complications of the two groups during the follow-up 3 months were observed and recorded. Results After treatment, the fractures of the two groups were healed. In the test group, the duration of fracture healing was (32.4±9.2) d, the time of postoperative joint movement was (7.3±1.6) d, after 2 months Harris quantitative score of hip function was (93.6±2.0) scores, those in the control group were (42.7±10.6) d, (18.5±2.7) d, (82.6±3.4) scores respectively, the differences were statistically significant (P < 0.05).The total effective rates of the test group and the control group were 95.9% and 75.6%, the clinical curative effect of the test group was significantly better than that of the control group, the difference was statistically significant (P < 0.05). The incidence of postoperative complications in the control group and the test group were 17.78% and 6.12%, the difference was statistically significant (P < 0.05). Conclusion After the hip replacement, middle-aged and elderly patients with severe intertrochanteric fractures with severe comminuted displacement are better healed in fracture and their healing cycle is shorter with higher safety, thus effectively improving the quality of life of patients.
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