An analysis of the effect of artificial lengthening femoral head replacement in elderly patients with stage I of unstable femoral intertrochanteric fracture

Abstract

Objective To analyze of the effect of artificial lengthening femoral head replacement in elderly patients with stage I of unstable femoral intertrochanteric fracture. Methods 203 patients with stage I of unstable femoral intertrochanteric fracture were selected as the research object, and they were taken artificial lengthening femoral head replacement, among which 65caese were male, female in 138 cases.The Harris scoring, SF-36, VAS pain scores on admission, 2 weeks after operation, postoperative follow-up limb were counted, and the pain of the affected limb and the hip scores were compared amond 3 time periods. Results All 203 cases of senile patients with follow-up, average operation time was 83.64 minutes, the intraoperative blood loss was 355.41mL.The curative effect was evaluated according to the Harris score, SF-36 and VAS pain scoring criteria, and the Harris scores of the affected limbs at admission, at 2 weeks after the operation and after the follow-up were (28.26±5.50)points, (68.26±5.50)points, (93.13±5.31)points, respectively, the differences were statistically significant(t=-71.27, -1 397.55, -46.07, all P<0.01); The VAS pain scores were (8.19±0.48)points, (3.53±0.71)points, (0.23±0.42)points, respectively, the differences were statistically significant (t=88.06, 324.17, 60.84, all P<0.01). The sf-36 scores: physiological[(8.35±1.24)points, (15.23±2.17)points, (19.21±2.12)points], social/family[(7.01±1.13)points, (14.12±2.12)points, (19.85±2.24)points], emotional[(4.83±1.01)points, (10.12±1.22)points, (14.87±1.32)points], function[(6.35±1.21)points, (13.67±1.87)points, (16.81±2.12)points], additional focus[(8.85±1.45)points, (16.38±2.12)points, (20.21±2.42)points], total quality of life [(47.35±4.76)points, (74.69±5.87)points, (89.21±6.12)points], the differences were statistically significant(-39.77, -62.92, -20.21, -44.87, -71.89, -26.79, -45.04, -89.01, -38.25, -45.79, -63.41, -15.29, -45.20, -60.39, -17.54, -52.12, -76.49, -22.58, all P<0.01). Conclusion Artificial lengthening femoral head replacement in elderly patients with stage I of unstable femoral intertrochanteric fracture has good clinical effect, intraoperative high safety, less postoperative complications, postoperative limb functional recovery is good, and it is worthy of clinical promotion and application. Key words: Femoral fractures; Arthroplasty, replacement, hip; Aged