The Currative Effect of Biological Lengthened Handle Total Hip Arthroplasty in the Treatment of Subtrochanteric Fracture Combined with Femoral Head Necrosis

Jiahui CHEN; Biao LI; Yi YANG; Shufa WEI; Junhong LIU; Yiming LIANG; Xin ZENG; Nanxi LI

doi:10.12259/j.issn.2095-610X.S20220104

Volume 43 Issue 1

Jan. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(1): 84-88

Jiahui CHEN, Biao LI, Yi YANG, Shufa WEI, Junhong LIU, Yiming LIANG, Xin ZENG, Nanxi LI. The Currative Effect of Biological Lengthened Handle Total Hip Arthroplasty in the Treatment of Subtrochanteric Fracture Combined with Femoral Head Necrosis[J]. Journal of Kunming Medical University, 2022, 43(1): 84-88. doi: 10.12259/j.issn.2095-610X.S20220104

Citation:

Jiahui CHEN, Biao LI, Yi YANG, Shufa WEI, Junhong LIU, Yiming LIANG, Xin ZENG, Nanxi LI. The Currative Effect of Biological Lengthened Handle Total Hip Arthroplasty in the Treatment of Subtrochanteric Fracture Combined with Femoral Head Necrosis[J]. Journal of Kunming Medical University, 2022, 43(1): 84-88. doi: 10.12259/j.issn.2095-610X.S20220104

Citation:

Jiahui CHEN, Biao LI, Yi YANG, Shufa WEI, Junhong LIU, Yiming LIANG, Xin ZENG, Nanxi LI. The Currative Effect of Biological Lengthened Handle Total Hip Arthroplasty in the Treatment of Subtrochanteric Fracture Combined with Femoral Head Necrosis[J]. Journal of Kunming Medical University, 2022, 43(1): 84-88. doi: 10.12259/j.issn.2095-610X.S20220104

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The Currative Effect of Biological Lengthened Handle Total Hip Arthroplasty in the Treatment of Subtrochanteric Fracture Combined with Femoral Head Necrosis

doi: 10.12259/j.issn.2095-610X.S20220104

Dept. of Orthopedics，The 1st Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650032，China

Received Date: 2021-12-29
Available Online: 2021-12-20
Publish Date: 2022-01-15

Abstract

Abstract

Objective To investigate the feasibility and clinical effect of total hip replacement with the biologically lengthened stem in the treatment of subtrochanteric fractures combined with the necrosis of femoral head. Methods A total of 88 patients admitted from January 2016 to January 2020 were analyzed retrospectively. Among them, 30 cases of subtrochanteric fractures with the avascular necrosis of the femoral head underwent stage I biotype long-stem joint replacement （experimental group）, 20 cases of simple subtrochanteric fracture group underwent PFNA internal fixation （PFNA group）, and 32 cases of simple avascular necrosis of the femoral head underwent the artificial joint replacement （joint replacement group）. The operation time, perioperative blood loss and postoperative hospitalization were compared among the three groupsand the fracture healing time between the experimental group and the PFNA group was compared so as to compare the hip Harris scores of the experimental group and the joint replacement group 1, 3, 6 months after the surgery and the last follow-up. Results The operation time of the experimental group was higher than those of the PFNA group and the joint replacement group, and the difference was statistically significant; The three groups had the statistically significant differences in perioperative blood loss, time of postoperative activities and the length of hospital stay; There was no significant difference in fracture healing time between the experimental group and the PFNA group and there was no statistically significant difference in the Harris score of the hip joint between the experimental group and the joint replacement group. Conclusion The total hip arthroplasty for the treatment of subtrochanteric fractures with the necrosis of femoral head can achieve good clinical results. There is no significant difference between fracture healing time and PFNA surgery.
- Subtrochanteric fracture of femur,
- Necrosis of femoral head,
- Artificial hip joint

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References(19)

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