[Phase I total hip replacement for severe hip osteoarthritis with proximal femoral fractures].

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.

• Authors: Jin-Tang Li, Shu-Qiang Li, Xing Wang, Jian Li, Hang Gao, Dong-Song Li
• Journal: Zhongguo gu shang = China journal of orthopaedics and traumatology (Zhongguo Gu Shang) Vol. 32 Issue 5 Pg. 412-417 (May 25 2019) ISSN: 1003-0034 [Print] China
• PMID: 31248234 (Publication Type: Clinical Trial, Journal Article)
• Copyright: Copyright© 2019 by the China Journal of Orthopaedics and Traumatology Press.

Topics

• Aged
• Arthroplasty, Replacement, Hip
• Female
• Femoral Fractures
• Hip Prosthesis
• Humans
• Male
• Middle Aged
• Osteoarthritis, Hip
• Quality of Life
• Treatment Outcome