A Comparative Study of Hip Arthroplasty and Closed Reduction Proximal Femur Nail in the Treatment of Elderly Patients with Hip Fractures

Frontiers in Surgery

article

Xianchao Zhou¹  Xiang Shen¹ 

[1] First Department of Orthopedics, The Fourth Hospital of Changsha

关键词: hip fracture;    hip arthroplasty;    closed reduction;    intramedullary nailing;    proximal femur nail;   

DOI  :  10.3389/fsurg.2022.904928

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective To compare the clinical effect of hip arthroplasty and closed reduction intramedullary nailing of proximal femur in the treatment of elderly hip fracture patients. Methods There are 90 elderly hip fracture patients being recruited in the present study. Fifty patients in Group A received closed reduction intramedullary nailing of proximal femur, and 40 patients in Group B received hip arthroplasty. All patients were followed up for 12 months after surgery, clinical outcomes included surgical indicators, visual analog scale (VAS) score, Harris score, quality of life, mental status, and complications. Results The surgery time, bleeding volume, infusion volume of patients in Group A are all significantly lower than those in Group B ( p   0.05). The incidence of postoperative complications in Group A was significantly lower than that in Group B (10% vs. 27.5%, p  < 0.05). Conclusion Elderly hip fracture patients treated with closed reduction intramedullary nailing of proximal femur has less surgical trauma and lower complication rates, but slower postoperative recovery compared with hip arthroplasty.

【 授权许可】

CC BY