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Progress in Modern Biomedicine. 2014, (11)

Arthroplasty with Compression Screw Fixation Elderly Osteoporotic Femoral Neck Fracture EfficacyChinese Full Text

LI Yong-duo;ZHOU Jun-lin;JIA Jin-sheng;LIU Shu-mao;WANG Tie-jun;Department of Orthopedics,Daxing District People’s Hospital of Beijing;Department of Orthopedics,Beijing Chaoyang Hospital affiliated Capital Medical University;

Abstract: Objective: To investigate arthroplasty with compression screw fixation elderly osteoporotic femoral neck fractures. Methods: August 2010 to March 2013 in our hospital 120 elderly patients with osteoporotic femoral neck fracture were selected, all patients were randomly divided into artificial replacement group and internal fixation group two groups, each 60 cases, compression screw fixation group with internal fixation, artificial replacement arthroplasty group taking the treatment, patients were assessed operative time, blood loss, ambulation time, postoperative complications and final follow-up Harris score excellent rate. Results: in artificial replacement group operation time and blood loss were 124.8 ±16.7（min）, 369.2±99.7（ml）, significantly higher than the internal fixation group 73.5±15.1（min）, 78.4±25.6（ml）; it artificial replacement postoperative ambulation time was 15.3±4.8（d）, significantly lower than the internal fixation group 40.2 ± 7.5（d）; artificial replacement group and internal fixation group of patients the incidence of postoperative complications was 20%, 66.7 %, artificial replacement group was significantly lower than internal fixation group, in which urinary bedsores most significant difference between the groups; final follow-up Harris score excellent rate, compared to 61.6% of the fixation group, artificial replacement group was 76.7%, significantly high. Difference was statistically significant（P＜0.05）. Conclusion: compression screw fixation and arthroplasty in the treatment of elderly osteoporotic femoral neck fractures have their own advantages and disadvantages, set for artificial joints can withstand surgery and good economic conditions in elderly patients, the use of artificial arthroplasty for better efficacy.
Keywords：

Arthroplasty; Compression screw fixation; Elderly osteoporotic femoral neck fracture;

  • DOI：

    10.13241/j.cnki.pmb.2014.11.024

  • Series：

  • Subject：

  • Classification Code：

    R687.3

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