Prosthetic replacement in treatment of subcapital femoral neck fractures in the elderly

To compare the results of femoral head replacement (FHR) and total hip replacement (THR) in treatment of subcapital femoral neck fractures (SFNF). Between May 1987 and July 1998, 56 elderly patients (6 5-90 years; average 73.5 years) with SFNF were treated with prosthetic replacement. Six cases were...

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Bibliographic Details
Published inChinese journal of traumatology Vol. 5; no. 1; p. 28
Main Authors Xu, Xinxiang, Liu, Yi, Liu, Jianguo, Li, Yinliang
Format Journal Article
LanguageEnglish
Published China 01.02.2002
Subjects
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip
Bone Cements
Female
Femoral Neck Fractures - diagnostic imaging
Femoral Neck Fractures - surgery
Hip Prosthesis
Humans
Male
Radiography
Treatment Outcome
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Summary:To compare the results of femoral head replacement (FHR) and total hip replacement (THR) in treatment of subcapital femoral neck fractures (SFNF). Between May 1987 and July 1998, 56 elderly patients (6 5-90 years; average 73.5 years) with SFNF were treated with prosthetic replacement. Six cases were treated with unipolar FHR, 18 cases with Bateman bipolar FHR, and 32 cases with Bateman bipolar THR. All domestic prostheses were installed with cement. There was no significant difference between the 2 groups in operating time and blood transfusion. Forty-nine patients were followed-up for an average of 5 years and 10 months. No wound infection or death was related to surgery. Complications in Group FHR were significantly higher than that i n Group THR. Since FHR is difficult to fit the bony acetabulum, it is only indicated for senile cases with poor conditions. However, the bi polar THR installed with cement is indicated for most elderly patients. Since th e femoral head and acetabulum can fit each other completely, it is more stable for taking weight-bearing earlier with less complications.
ISSN:1008-1275