Phase I total hip replacement for severe hip osteoarthritis with proximal femoral fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 412-417, 2019.
Article
in Chinese
| WPRIM
| ID: wpr-773907
ABSTRACT
OBJECTIVE@#To investigate the effect and prognosis of stage I total hip replacement in the treatment of severe hip osteoarthritis with proximal femoral fracture.@*METHODS@#From July 2014 to October 2017, 8 patients with severe end-stage hip disease and proximal femoral fracture were treated with stage I total hip replacement including 6 males and 2 females, aged 59 to 72 years old with an average age of 65 years old, involving 4 femoral head necrosis with proximal femoral fracture in the right side, 3 femoral head necrosis with proximal femoral fracture in the left side, and 1 left acetabular dysplasia with proximal femoral fracture in the left side. The average time from injury to operation was 7 days. Eight patients were treated with biologically elongated hip prosthesis.@*RESULTS@#Eight patients with stage I total hip arthroplasty were followed up for 12 to 48 months with an average of 31 months. During the follow-up period, there was no loosening or subsidence of the prosthesis. Harris score increased from 33 points (22 to 42 points) preoperatively to 87 points(82 to 90 points) at the last follow-up. Among them, 3 cases were excellent and 5 cases were good. Abandoned abduction and walked 3 months after operation. X-ray films during 3-6 months after operation showed that fracture healing was good, hip pain and function were improved significantly, and the quality of life was greatly improved.@*CONCLUSIONS@#Phase I total hip arthroplasty for severe hip osteoarthritis patients with proximal femoral fracture has the advantages of shortening the treatment time, alleviating patients'pain, reducing hospitalization costs and good prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quality of Life
/
Osteoarthritis, Hip
/
Treatment Outcome
/
Arthroplasty, Replacement, Hip
/
Femoral Fractures
/
Hip Prosthesis
Type of study:
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2019
Type:
Article
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