Comparison of Internal Fixation and Arthroplasty in the Treatment of Osteoporosis Complicated with Intertrochanteric Fractures in Elderly Patients

Luo Jing Ling; Zhang Zong Shan; Tan Shao Lin; Guo Xiang Hong

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Luo Jing Ling , Zhang Zong Shan , Tan Shao Lin , Guo Xiang Hong . Comparison of Internal Fixation and Arthroplasty in the Treatment of Osteoporosis Complicated with Intertrochanteric Fractures in Elderly Patients[J]. Journal of Kunming Medical University, 2017, 38(04): 123-126.

Citation:

Luo Jing Ling , Zhang Zong Shan , Tan Shao Lin , Guo Xiang Hong . Comparison of Internal Fixation and Arthroplasty in the Treatment of Osteoporosis Complicated with Intertrochanteric Fractures in Elderly Patients[J]. Journal of Kunming Medical University, 2017, 38(04): 123-126.

Citation:

Luo Jing Ling , Zhang Zong Shan , Tan Shao Lin , Guo Xiang Hong . Comparison of Internal Fixation and Arthroplasty in the Treatment of Osteoporosis Complicated with Intertrochanteric Fractures in Elderly Patients[J]. Journal of Kunming Medical University, 2017, 38(04): 123-126.

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Comparison of Internal Fixation and Arthroplasty in the Treatment of Osteoporosis Complicated with Intertrochanteric Fractures in Elderly Patients

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基金：云南省教育厅科学研究基金资助项目(2012C002);

Received Date: 2016-11-14

Abstract

Abstract

Objective To investigate the clinical effects of internal fixation and joint replacement in the treatment of osteoporosis complicated with intertrochanteric fractures of the elderly and compare the effects of internal fixation and joint replacement. Methods Seventy-eight elderly patients with osteoporotic intertrochanteric fractures treated in our hospital from January 2016 to December 2016 were randomly divided into two groups according to the treatment: the experimental group(hip replacement operation) and the control group(internal fixation Surgery), were treated with joint replacement and internal fixation, the two groups of clinical efficacy, bone mineral density values and complications were compared. Results After treatment, the total effective rate of the experimental group was86.78%, the total effective rate of the control group was 65.87%, the total effective rate of the experimental group was significantly higher than the control group, the difference was statistically significant. After treatment, the BMD values of the two groups were significantly increased, but the experimental group of bone mineral density was significantly higher than the control group(P<0.05), the difference was statistically significant. In addition, the incidence of complications in the experimental group was significantly lower than the control group(P<0.05), the difference was statistically significant. Conclusion Joint replacement of osteoporotic treatment of osteoporosis with intertrochanteric fractures is more excellent than the internal fixation, has significant clinical effect, can effectively improve the quality of life of patients,so it should be widely used in clinical practice.
- Internal fixation,
- Joint replacement,
- Osteoporosis,
- Intertrochanteric fractures,
- Clinical curative effect

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