Your browser doesn't support javascript.
loading
Medium term follow up outcomes of uncemented total hip arthroplasty for traumatic arthritis after intramedullary nail fixation of femoral intertrochanteric fracture / 中国骨伤
China Journal of Orthopaedics and Traumatology ; (12): 1026-1030, 2023.
Artículo en Chino | WPRIM | ID: wpr-1009179
ABSTRACT
OBJECTIVE@#To evaluate the effect of uncemented total hip arthroplasty(THA) on treatment of traumatic arthritis caused by intramedullary nailing interfixation of intertrochanteric fractures.@*METHODS@#Total of 22 patients treated with THA due to traumatic arthritis caused by intramedullary nailing interfixation of intertrochanteric fractures from January 2012 to January 2017 were studied retrospectively, including 10 males and 12 females with a mean age of (72.5±9.8) years old ranging from 61 to 84 years old. Initial internal fixation

method:

14 patients were treated with Gamma nails and 8 patients were treated wit PFNA.The time from internal fixation surgery to THA was 10 to 68 months with an average of (32.2±21.3) months.Harris scores of the hip joint before and after surgery were compared, and the position of the prosthesis through postoperative imaging at 3, 6, 12 months and the last follow-up were evaluated.@*RESULTS@#One patient was died due to heart failure 1 year after operation. Two patients was died to advanced tumor 2 years after operation. The other 19 patients were followed up for 36 to 64 months with an average of (48.5±11.9) months. At final follow up, 14 patients regained the ability to walk independently, 4 patients needed support of a cane, 1 patient needed assistance of a walker. No serious complications such as joint dislocation, periprosthetic fracture and deep venous thrombosis occurred during follow-up. There were no signs of loosening and subsidence of the prosthesis at the final follow-up. Mean Harris hip score increased from (29.2±12.9) points preoperatively to (74.2±11.2) points at the final follow up(P<0.05);the score was excellent in 9 patients, good in 7 and fair in 3.@*CONCLUSION@#Uncemented total hip arthroplasty for traumatic arthritis after intramedullary nail fixation of femoral intertrochanteric fracture can significantly improve hip function and effectively avoid bone cement implantation syndrome. The medium-term effect is satisfactory.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Artritis / Clavos Ortopédicos / Estudios Retrospectivos / Estudios de Seguimiento / Resultado del Tratamiento / Artroplastia de Reemplazo de Cadera / Fijación Intramedular de Fracturas / Fracturas de Cadera Límite: Anciano / Aged80 / Femenino / Humanos / Masculino Idioma: Chino Revista: China Journal of Orthopaedics and Traumatology Año: 2023 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Artritis / Clavos Ortopédicos / Estudios Retrospectivos / Estudios de Seguimiento / Resultado del Tratamiento / Artroplastia de Reemplazo de Cadera / Fijación Intramedular de Fracturas / Fracturas de Cadera Límite: Anciano / Aged80 / Femenino / Humanos / Masculino Idioma: Chino Revista: China Journal of Orthopaedics and Traumatology Año: 2023 Tipo del documento: Artículo