Abstract:Objective To discuss and analyze effect of biotype common handle (short handle) prosthesis in treating aged patients with femoral intertrochanteric fracture. Methods A retrospective analysis was carried out on 321 patients, among which 280 (102 males and 178 females, at age of 72-98 years, average 82.5 years) obtained follow-up. According to a new fracture classification method (Piansui Classification), the typeⅠa fracture was found in 65 cases and typeⅠb in 215. Most patients were combined with medical diseases, and after related medical collaborative treatment, standard biotype common handle prosthesis (artificial bipolar femoral head) replacement was applied to all patients. Early rehabilitation exercise was performed postoperatively. Results All the 321 patients lived through perioperative period successively, with no death in hospitalization. Meanwhile, postoperative complications were all cured in hospitalization. The patients could take out-of-bed activity at 1-3 weeks after operation. All 280 patients could take care of themselves at 12-46 months (average 28 months) of follow-up. According to Harris score, the results were excellent in 129 cases, good in 121, fair in 22 and poor in eight, with excellence rate of 89.3%. Conclusion Biotype common handle artificial femoral head replacement is an effective method to allow early ambulation, reduce complications and improve quality of life in treatment of intertrochanteric fractures in the elderly.
WANG Shao-lin,TAN Zu-jian,ZHOU Ming-quan et al. Biotype common handle (short handle) prosthesis in treatment of femoral intertrochanteric fracture in the elderly[J]. CHINESE JOURNAL OF TRAUMA, 2013, 29(2): 127-131.
[2]Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet, 2002, 359(9319):1761-1767.
[3]Gillespie WJ, Walenkamp GH. Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures. Cochrane Database Syst Rev, 2010, (3):CD000244.
[4]Smith GH, Tsang J, Molyneux SG, et al. The hidden blood loss after hip fracture. Injury, 2011, 42(2):133-135.
[5]Harris WH. Traumaric arthritis of the hip after dislocation and acetabular fracture:treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg(Am), 1969, 51(4):737-755.
[13]Haidukewych GJ, Berry DJ. Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures. J Bone Joint Surg (Am), 2003, 85(5):899-904.
[17]Sierra RJ, Timperley JA, Gie GA. Contemporary cementing technique and mortality during and after exeter total hip arthroplasty. J Arthroplasty, 2009, 24(3):325-332.
[18]Pedersen SJ, Borgbjerg FM, Schousboe B, et al. A comprehensive hip fracture program reduces complication rates and mortality. J Am Geriatr Soc, 2008, 56(10):1831-1838.
[19]de Luise C, Brimacombe M, Pedersen L, et al. Comorbidity and mortality following hip fracture: a population-based cohort study.Aging Clin Exp Res , 2008, 20(5):412-418.
[20]Haleem S, Lutchman L, Mayahi R, et al. Mortality following hip fracture: trends and geographical variations over the last 40 years. Injury, 2008, 39(10):1157-1163.
[22]Pedersen SJ, Borgbjerg FM, Schousboe B, et al. A comprehensive hip fracture program reduces complication rates and mortality. J Am Geriatr Soc, 2008, 56(10):1831-1838.