Clinical Effcacy of Hip Arthroplasty in the Treatment of Intracapsular Femoral Neck Fracture in Elderly Patients_West China Medical Journal

Authors：

 YUZhen-he ,  XUDong , YANGYu-jing , SUNQi-dong , KONGLei , ZHUYao-jun , LIDong-jun

Department of Orthopedic Surgery, Lüshunkou District Hospital of Traditional Chinese Medicine, Dalian, Liaoning 116041, P. R. China;

Corresponding author：

XUDong, Email: 34045373@qq.com

Keywords：

Hip arthroplasty; Femoral neck fracture; Elderly; Intracapsular

DOI：

10.7507/1002-0179.20150536

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical e cacy of hip arthroplasty in treating intracapsular femoral neck fracture in elderly patients. Methods From January 2010 to December 2012, 198 patients with intracapsular femoral neck fractures (Garden Ⅲ and Ⅳ ), aged between 65 and 85 years old were selected to be treated with hip arthroplasty. Clinical evaluation including Harris hip score, Barthel index, postoperative complications and activities of daily living were performed. Results The patients were followed up for an average time of 15.6 months. At the follow-up time of 12 months, the Harris scores were 85-98, averaging 94.5; the Barthel indexes were 86-97, averaging 94.0. The main postoperative complications were subcutaneous fat necrosis (3 cases), deep venous thrombosis of lower limbs (2 cases), bedsores (2 cases), pulmonary infection (4 cases), dislocation (2 cases) and pain (4 cases). More than 95% of the patients had a satisfactory treatment and recovered activities of daily living. Conclusion Hip arthroplasty reduces postoperative complications caused by prolonged bed rest and helps the patients get back to normal activities of daily living early, so it is an effective method to treat intracapsular femoral neck fractures and is suitable for widespread clinical application.

Citation： YUZhen-he, XUDong, YANGYu-jing, SUNQi-dong, KONGLei, ZHUYao-jun, LIDong-jun. Clinical Effcacy of Hip Arthroplasty in the Treatment of Intracapsular Femoral Neck Fracture in Elderly Patients. West China Medical Journal, 2015, 30(10): 1866-1870. doi: 10.7507/1002-0179.20150536 Copy

1.	张长青, 曾炳芳. 闭合复位加凡空心钉固定治疗股骨颈骨折回顾性分析[J]. 中华创伤杂志, 2003, 19(2): 238-241.
2.	陈孝平. 外科学[M]. 北京: 人民卫生出版社, 2002: 975.
3.	Gjertsen JE, Vinje T, Engesaeter LB, et al. Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients[J]. J Bone Joint Surg Am, 2010, 92(3): 619-628.
4.	邱贵兴. 中国骨科大手术静脉血栓栓塞症预防指南[J]. 中华关节外科杂志: 电子版, 2009, 3(3): 380-383.
5.	吕厚山. 现代人工关节外科学[M]. 北京: 人民卫生出版社, 2006: 678-684.
6.	Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fracture: treatment by mold arthroplasty. Am end-result study using a new method of result evaluation[J]. J Bone Joint Surg Am, 1969, 51(4): 737-755.
7.	Collin C, Wade DT, Davies S, et al. The Barthel ADL index: a reliability study[J]. Int Disabil Stud, 1988, 10(2): 61-63.
8.	Dai Z, Li Y, Jiang D. Meta-analysis comparing arthroplasty with internal fixation for displaced femoral neck fracture in the elderly[J]. J Surg Res, 2011, 165(1): 68-74.
9.	车彪, 邵增务, 杨述华, 等. 老年股骨颈骨折患者选择髋关节置换的若干认识[J]. 中国骨与关节损伤杂志, 2008, 23(7): 567-568.
10.	Bhandari M, Tornetta P, Hanson B, et al. Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip screws?[J]. J Orthop Trauma, 2009, 23(6): 403-407.
11.	吕厚山. 浅谈人工股骨头置换治疗股骨颈骨折[J]. 中华骨科杂志,1997, 17(2): 99.
12.	郑季南, 方钧, 陈敏葵, 等. 人工髋关节置换术治疗老年股骨颈骨折[J]. 中国骨与关节损伤杂志, 2013, 28(2): 140-141.
13.	Valen B. Dislocation of hip prostheses[J]. Tidsskr Nor Laegeforen, 2013, 133(11): 1197-1199.
14.	Munro JT, Vioreanu MH, Masri BA, et al. Acetabular liner with focal constraint to prevent dislocation after THA[J]. Clin Orthop Relat Res, 2013, 471(12): 3883-3890.
15.	Freedman KB, Brookenthal KR, Jr Fitzgerald RH, et al. A metaanalysis of thromboembolic prophylaxis following elective total hip arthroplasty[J]. J Bone Joint Surg Am, 2000, 82(7): 929-938.
16.	Callanan MC, Jarrett B, Bragdon CR, et al. the john charnley award risk factors for cup malpositioning quality improvement through a joint registry at a tertiaryhospital[J]. Clin Orthop Relat Res, 2011, 469(2): 319-329.
17.	Nicolaides A. Prevention of venous thromboembolism. International Consensus Statement. Guidelines compiled in accordance with the scientific evidence[J]. Int Angiol, 2001, 20(1): 1-37.
18.	Manganelli D, Pazzagli M, Mazzantini D, et al. Prolonged prophylaxis with unfractioned heparin is effective to reduce delayed deep vein thrombosis in total hip replacement[J]. Respiration, 1998, 65(5): 369-374.
19.	Bozic KJ, Kurtz SM, Lau E, et al. the epidemiology of revision total hip arthroplasty in the United States[J]. J Bone Joint Surg Am, 2009, 91(1): 128-133.

1. 张长青, 曾炳芳. 闭合复位加凡空心钉固定治疗股骨颈骨折回顾性分析[J]. 中华创伤杂志, 2003, 19(2): 238-241.
2. 陈孝平. 外科学[M]. 北京: 人民卫生出版社, 2002: 975.
3. Gjertsen JE, Vinje T, Engesaeter LB, et al. Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients[J]. J Bone Joint Surg Am, 2010, 92(3): 619-628.
4. 邱贵兴. 中国骨科大手术静脉血栓栓塞症预防指南[J]. 中华关节外科杂志: 电子版, 2009, 3(3): 380-383.
5. 吕厚山. 现代人工关节外科学[M]. 北京: 人民卫生出版社, 2006: 678-684.
6. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fracture: treatment by mold arthroplasty. Am end-result study using a new method of result evaluation[J]. J Bone Joint Surg Am, 1969, 51(4): 737-755.
7. Collin C, Wade DT, Davies S, et al. The Barthel ADL index: a reliability study[J]. Int Disabil Stud, 1988, 10(2): 61-63.
8. Dai Z, Li Y, Jiang D. Meta-analysis comparing arthroplasty with internal fixation for displaced femoral neck fracture in the elderly[J]. J Surg Res, 2011, 165(1): 68-74.
9. 车彪, 邵增务, 杨述华, 等. 老年股骨颈骨折患者选择髋关节置换的若干认识[J]. 中国骨与关节损伤杂志, 2008, 23(7): 567-568.
10. Bhandari M, Tornetta P, Hanson B, et al. Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip screws?[J]. J Orthop Trauma, 2009, 23(6): 403-407.
11. 吕厚山. 浅谈人工股骨头置换治疗股骨颈骨折[J]. 中华骨科杂志,1997, 17(2): 99.
12. 郑季南, 方钧, 陈敏葵, 等. 人工髋关节置换术治疗老年股骨颈骨折[J]. 中国骨与关节损伤杂志, 2013, 28(2): 140-141.
13. Valen B. Dislocation of hip prostheses[J]. Tidsskr Nor Laegeforen, 2013, 133(11): 1197-1199.
14. Munro JT, Vioreanu MH, Masri BA, et al. Acetabular liner with focal constraint to prevent dislocation after THA[J]. Clin Orthop Relat Res, 2013, 471(12): 3883-3890.
15. Freedman KB, Brookenthal KR, Jr Fitzgerald RH, et al. A metaanalysis of thromboembolic prophylaxis following elective total hip arthroplasty[J]. J Bone Joint Surg Am, 2000, 82(7): 929-938.
16. Callanan MC, Jarrett B, Bragdon CR, et al. the john charnley award risk factors for cup malpositioning quality improvement through a joint registry at a tertiaryhospital[J]. Clin Orthop Relat Res, 2011, 469(2): 319-329.
17. Nicolaides A. Prevention of venous thromboembolism. International Consensus Statement. Guidelines compiled in accordance with the scientific evidence[J]. Int Angiol, 2001, 20(1): 1-37.
18. Manganelli D, Pazzagli M, Mazzantini D, et al. Prolonged prophylaxis with unfractioned heparin is effective to reduce delayed deep vein thrombosis in total hip replacement[J]. Respiration, 1998, 65(5): 369-374.
19. Bozic KJ, Kurtz SM, Lau E, et al. the epidemiology of revision total hip arthroplasty in the United States[J]. J Bone Joint Surg Am, 2009, 91(1): 128-133.

West China Medical Journal

Clinical Effcacy of Hip Arthroplasty in the Treatment of Intracapsular Femoral Neck Fracture in Elderly Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content