Clinical Research Of Treatment Of Unstable Intertrochanteric Femoral Fractures In Elderly Patients With Hip Hemiarthroplasty

Objective:To study the indications and surgical procedure of hemiarthroplasty for elderly patients with unstable intertrochanteric femoral fractures. Through Comparative efficacy of hemiarthroplasty and fixation for elderly patients with unstable intertrochan-teric femoral fractures. Methods:In this study,85 cases of elderly patients with unstable intertrochanteric femoral fractures were chose from Affiliated Hospital of Shandong University of TCM orthopedics ward from February 2003 to June 2009 in line with the standard of this study,85 cases were divided into the fixation group (59 cases) and hemiarthroplasty group (26 cases), through chart review and postoperative follow-up, compared two groups in age, preoperative Evans classification, the main incidence of preoperative, operative time, blood loss, hospitalization time, Shimoji time, postoperative complications, internal fixation or prosthetic loosening (failure) rate, Harris score of 1 month and six month after Shimoji.Result:Hemiarthroplasty group earlier than fixation group in shimoji time, can significantly reduce the incidence of postoperative deep venous thrombosis. Harris score of 1 month after Shimoji in both the number and excellent rate is superior to internal fixation group, Harris score of six month after Shimoji in the number is non-discrimination with the internal fixation group, but the excellent rate of 92.3% is better than internal fixation group. Conclusion:Hemiarthroplasty can significantly reduce the bed time, reduce the incidence of postoperative complications in bed suffering, Short-term restored to pre-injury level in ipsilateral hip joint. So hemiarthroplasty is the reasonable choice in treatment of elderly patients with unstable intertrochanteric femoral fractures.