Abstract
Aim To study the diagnostic effect of hip fracture in the elderly. In this paper, a total of 100 elderly patients with hip fracture from January 2020 to May 2021 were selected for X-ray and CT examination after admission. The operation was taken as the final criteria for determining hip fracture type, and the diagnosis of hip fracture by CT three-dimensional reconstruction was analyzed and studied. The results showed that the diagnostic rate of CT 3D reconstruction for various types of hip fracture in the elderly was higher than that of CT plain scan and X-ray (P < 0.05). For the diagnosis of intra-articular small bone fragments, the rate of missed diagnosis was 2% (2/100) with CT 3D reconstruction, 10% (10/100) with conventional CT scan, and 20% (20/100) with X-ray. The rate of misdiagnosis was 5.0% (5/100) with CT 3D reconstruction. Routine CT scan was 15% (15/100), X-ray was 30% (30/100), and CT 3D reconstruction was significantly lower than other examinations (P < 0.05). Conclusion CT 3D reconstruction has high accuracy in the diagnosis of various types of hip fractures in the elderly.
Highlights
Artificial hip arthroplasty has developed for nearly half a century since its development
This technology has become a method for the treatment of hip diseases such as femoral neck fracture, hip osteoarthritis, femoral head necrosis, rheumatoid hip arthritis, ankylosing spondylitis complicated with hip ankylosis, congenital acetabular dysplasia, and hip tumor, It is an effective means to relieve hip pain, restore joint activity, and improve joint stability
More than 1 million cases of artificial hip arthroplasty have been carried out globally every year, and the number of total hip arthroplasty (THA) is increasing year by year
Summary
Artificial hip arthroplasty has developed for nearly half a century since its development. With the aging of China’s social population, the improvement of people’s requirements for the quality of life, the continuous improvement of the medical insurance system, and the rapid development of medicine, the demand for hip replacement in China has increased significantly. It has been more than ten years since ERAS was introduced into China. A systematic evaluation of the application status of ERAS in China shows that ERAS can effectively shorten the length of stay, reduce hospitalization costs, reduce postoperative complications, improve patient satisfaction, improve prognosis and improve the quality of medical care in the surgical fields of gastrointestinal surgery, hepatobiliary surgery, cardiothoracic surgery, urology and obstetrics and gynecology. 3D reconstruction can effectively observe the situation of bone fragments, which is conducive to the judgment of hip fracture type and the formulation of surgical plan. e results of this study fully prove that CT examination has a high sensitivity to fracture.CT 3D reconstruction has a high accuracy in the diagnosis of various types of hip fractures in the elderly
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