Abstract
Objective To investigate the methods and clinical effects of bone cement type of artificial femoral head replacement in treatment of senile patients with femoral neck fracture. Meth- ods The clinical data of 95 senile patients with femoral neck fracture treated by bone cement type of ar- tificial femoral head replacement, from March 2008 to August 2012, were retrospectively analyzed. Re- suits All patients had successful operations, the operation time was （46. 5 ±3.5 ） min, and the bleeding volume during operation was （ 195.0 ± 4.5 ） ml. Postoperative X-ray showed the femur prosthesis location was fine. There were no complications such as hip varus or valgus, pressure sores, hypostatic pneumoni- a, urinary system infection, deep venous thrombosis. Harris hip joint function score： 73 cases were ex- cellent, 15 cases were good, 6 cases were OK, and 1 case was poor, the good and excellent rate was 92.6%. The follow-up was 11 to 26 months, 67 cases could walk without crutches, 28 cases needed to walk with crutches. The reviewed X-ray showed 3 cases of acetabulum abrasion, 3 cases of mild harden- ing in acetabulum weight-bearing area, 2 cases of bright zone around the bone cement and prosthesis, 2 cases of calcar femorale absorption, but there was no prosthesis drop, loosening, subsidence or infection. Conclusions The bone cement type of artificial femoral head replacement in treatment of senile femoral neck fracture has the advantages of small trauma, less hemorrhage, and can take rehabilitation exercise earlier. Besides, the incidence of complication is reduced obviously, and the clinical application is safe, the curative effect is satisfied. Key words: Bone cement type of artificial femoral head; Senile; Femur neck fracture
Published Version
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