Analysis of prosthetic replacement in treatment of femoral neck fracture on the hemiplegia side in the elderly
Objective: To study the effect of prosthetic replacement in treatment of femoral neck fractures on the hemiplegia side in the elderly. Methods: From May 1990 to May 2000, 189 elderly patients with femoral neck fractures were treated with prosthetic replacement in my hospital. Twenty-nine hemiplegia...
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| Veröffentlicht in: | Chinese journal of traumatology 2004-06, Vol.7 (3), p.138-142 |
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| creator | 冯明利 沈惠良 胡怀健 雍宜民 曹立 王玮 |
| description | Objective: To study the effect of prosthetic replacement in treatment of femoral neck fractures on the hemiplegia side in the elderly. Methods: From May 1990 to May 2000, 189 elderly patients with femoral neck fractures were treated with prosthetic replacement in my hospital. Twenty-nine hemiplegia patients, who suffered from stroke previously,had Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side. Thirty non-hemiplegia patients were chosen randomly. The two groups were followed-up for 27-98 months (average: 59 months). The age, hospitalization days, operating time, blood loss, blood transfusion,complications during perioperative period and long-term complications were compared between the two groups and the results of femoral head replacement and total hip replacement in the hemiplegia group were also compared. Results: All the patients of the two groups survived the perioperative period. No significant difference was found in the age, hospitalization days, operation time,blood loss and blood transfusion and long-term complications between the two groups (P>0.05). Howeverthere was significant difference in complications during perioperative period between the two groups (P |
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Methods: From May 1990 to May 2000, 189 elderly patients with femoral neck fractures were treated with prosthetic replacement in my hospital. Twenty-nine hemiplegia patients, who suffered from stroke previously,had Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side. Thirty non-hemiplegia patients were chosen randomly. The two groups were followed-up for 27-98 months (average: 59 months). The age, hospitalization days, operating time, blood loss, blood transfusion,complications during perioperative period and long-term complications were compared between the two groups and the results of femoral head replacement and total hip replacement in the hemiplegia group were also compared. Results: All the patients of the two groups survived the perioperative period. No significant difference was found in the age, hospitalization days, operation time,blood loss and blood transfusion and long-term complications between the two groups (P>0.05). Howeverthere was significant difference in complications during perioperative period between the two groups (P<0.05 ).Five patients died in the hemipiegia group with themortality of 17.2% and two died in the non-hemiplegia group with the mortality of 6.7 % 11 months to 5 years after operation. There was significant difference in long-term complications between the femoral head replacement and the total hip replacement in the hemiplegia group (P<0.05). The result of the total hip replacement was better than that of the femoral head replacement. Conclusions: Prosthetic replacement is a reliable method in treatment of Garden type Ⅲand type Ⅳ femoral neck fractures on the hemiplegia side in the elderly,and patients are safe during perioperative period. More complications during perioperative period occur in the hemiplegia group, and long-term complications are insignificantly different between the two groups. The mortality rate is higher in the hemiplegia group than in the non-hemiplegia group within 5 years after operation. Since the result of the total hip replacement is better than that of the femoral head replacement, total hip replacement should be chosen firstly to treat Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side in the elderly if the muscular strength of the hip is beyond IV degree.</description><identifier>ISSN: 1008-1275</identifier><identifier>PMID: 15294109</identifier><language>eng</language><publisher>China: Department of Orthopaedics, Xuanwu Hospital Affiliated to Capital University of Medical Science, Beijing 100053, China</publisher><subject>Aged ; Arthroplasty, Replacement, Hip ; Female ; Femoral Neck Fractures - etiology ; Femoral Neck Fractures - surgery ; Hemiplegia - complications ; Humans ; Male ; 老年人 ; 股骨头置换术 ; 股骨颈骨折</subject><ispartof>Chinese journal of traumatology, 2004-06, Vol.7 (3), p.138-142</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85114X/85114X.jpg</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15294109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>冯明利 沈惠良 胡怀健 雍宜民 曹立 王玮</creatorcontrib><title>Analysis of prosthetic replacement in treatment of femoral neck fracture on the hemiplegia side in the elderly</title><title>Chinese journal of traumatology</title><addtitle>Chinese Journal of Traumatology（English Edition）</addtitle><description>Objective: To study the effect of prosthetic replacement in treatment of femoral neck fractures on the hemiplegia side in the elderly. Methods: From May 1990 to May 2000, 189 elderly patients with femoral neck fractures were treated with prosthetic replacement in my hospital. Twenty-nine hemiplegia patients, who suffered from stroke previously,had Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side. Thirty non-hemiplegia patients were chosen randomly. The two groups were followed-up for 27-98 months (average: 59 months). The age, hospitalization days, operating time, blood loss, blood transfusion,complications during perioperative period and long-term complications were compared between the two groups and the results of femoral head replacement and total hip replacement in the hemiplegia group were also compared. Results: All the patients of the two groups survived the perioperative period. No significant difference was found in the age, hospitalization days, operation time,blood loss and blood transfusion and long-term complications between the two groups (P>0.05). Howeverthere was significant difference in complications during perioperative period between the two groups (P<0.05 ).Five patients died in the hemipiegia group with themortality of 17.2% and two died in the non-hemiplegia group with the mortality of 6.7 % 11 months to 5 years after operation. There was significant difference in long-term complications between the femoral head replacement and the total hip replacement in the hemiplegia group (P<0.05). The result of the total hip replacement was better than that of the femoral head replacement. Conclusions: Prosthetic replacement is a reliable method in treatment of Garden type Ⅲand type Ⅳ femoral neck fractures on the hemiplegia side in the elderly,and patients are safe during perioperative period. More complications during perioperative period occur in the hemiplegia group, and long-term complications are insignificantly different between the two groups. The mortality rate is higher in the hemiplegia group than in the non-hemiplegia group within 5 years after operation. Since the result of the total hip replacement is better than that of the femoral head replacement, total hip replacement should be chosen firstly to treat Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side in the elderly if the muscular strength of the hip is beyond IV degree.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Female</subject><subject>Femoral Neck Fractures - etiology</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Hemiplegia - complications</subject><subject>Humans</subject><subject>Male</subject><subject>老年人</subject><subject>股骨头置换术</subject><subject>股骨颈骨折</subject><issn>1008-1275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo10EtPwzAMAOAeQDAefwGFCxKHSmnSNclxmnhJk7jAuXJTZw2k6Za0QtuvJ2zjFDn-bMs-y2YFpTIvmJhfZlcxflFaMjoXF9llMWeqLKiaZX7hwe2ijWQwZBOGOHY4Wk0Cbhxo7NGPxHoyBoTxECRmsB8COOJRfxMTQI9TQDIk1SHpsLcbh2sLJNoWD8XpG12Lwe1usnMDLuLt6b3OPp-fPpav-er95W25WOW6kIzlWIoW2goaOeeGVqxsOFADpZIMW4GyUarQTCpqGkhJzXnRcimhbATTZcX4dfZ47PsD3oBf11_DFNKmsd53Ou73NbJ0Dcop_bMPR5vW304Yx7q3UaNz4HGYYl1VolJSigTvTnBqemzrTbA9hF39f80E7o9Ad4Nfb22a24D-NtZhrYQSvGT8F8zIfBQ</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>冯明利 沈惠良 胡怀健 雍宜民 曹立 王玮</creator><general>Department of Orthopaedics, Xuanwu Hospital Affiliated to Capital University of Medical Science, Beijing 100053, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>200406</creationdate><title>Analysis of prosthetic replacement in treatment of femoral neck fracture on the hemiplegia side in the elderly</title><author>冯明利 沈惠良 胡怀健 雍宜民 曹立 王玮</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1822-e47dad6ab853f0624b3a0fa4982ed7e8b991c2890fba24bc331d388a4b72c4623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Female</topic><topic>Femoral Neck Fractures - etiology</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Hemiplegia - complications</topic><topic>Humans</topic><topic>Male</topic><topic>老年人</topic><topic>股骨头置换术</topic><topic>股骨颈骨折</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>冯明利 沈惠良 胡怀健 雍宜民 曹立 王玮</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese journal of traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>冯明利 沈惠良 胡怀健 雍宜民 曹立 王玮</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of prosthetic replacement in treatment of femoral neck fracture on the hemiplegia side in the elderly</atitle><jtitle>Chinese journal of traumatology</jtitle><addtitle>Chinese Journal of Traumatology（English Edition）</addtitle><date>2004-06</date><risdate>2004</risdate><volume>7</volume><issue>3</issue><spage>138</spage><epage>142</epage><pages>138-142</pages><issn>1008-1275</issn><abstract>Objective: To study the effect of prosthetic replacement in treatment of femoral neck fractures on the hemiplegia side in the elderly. Methods: From May 1990 to May 2000, 189 elderly patients with femoral neck fractures were treated with prosthetic replacement in my hospital. Twenty-nine hemiplegia patients, who suffered from stroke previously,had Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side. Thirty non-hemiplegia patients were chosen randomly. The two groups were followed-up for 27-98 months (average: 59 months). The age, hospitalization days, operating time, blood loss, blood transfusion,complications during perioperative period and long-term complications were compared between the two groups and the results of femoral head replacement and total hip replacement in the hemiplegia group were also compared. Results: All the patients of the two groups survived the perioperative period. No significant difference was found in the age, hospitalization days, operation time,blood loss and blood transfusion and long-term complications between the two groups (P>0.05). Howeverthere was significant difference in complications during perioperative period between the two groups (P<0.05 ).Five patients died in the hemipiegia group with themortality of 17.2% and two died in the non-hemiplegia group with the mortality of 6.7 % 11 months to 5 years after operation. There was significant difference in long-term complications between the femoral head replacement and the total hip replacement in the hemiplegia group (P<0.05). The result of the total hip replacement was better than that of the femoral head replacement. Conclusions: Prosthetic replacement is a reliable method in treatment of Garden type Ⅲand type Ⅳ femoral neck fractures on the hemiplegia side in the elderly,and patients are safe during perioperative period. More complications during perioperative period occur in the hemiplegia group, and long-term complications are insignificantly different between the two groups. The mortality rate is higher in the hemiplegia group than in the non-hemiplegia group within 5 years after operation. Since the result of the total hip replacement is better than that of the femoral head replacement, total hip replacement should be chosen firstly to treat Garden type Ⅲ and type Ⅳ femoral neck fractures on the hemiplegia side in the elderly if the muscular strength of the hip is beyond IV degree.</abstract><cop>China</cop><pub>Department of Orthopaedics, Xuanwu Hospital Affiliated to Capital University of Medical Science, Beijing 100053, China</pub><pmid>15294109</pmid><tpages>5</tpages></addata></record> |
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| subjects | Aged Arthroplasty, Replacement, Hip Female Femoral Neck Fractures - etiology Femoral Neck Fractures - surgery Hemiplegia - complications Humans Male 老年人 股骨头置换术 股骨颈骨折 |
| title | Analysis of prosthetic replacement in treatment of femoral neck fracture on the hemiplegia side in the elderly |
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