[Abstract] Objective To investigate the long stem cemented artificial bipolar femoral head replacement for the treatment of A2 patients in clinical treatment of intertrochanteric fractures in the elderly. Methods Since 2009 August to 2013 April in our hospital, 30 cases of type A2 in elderly intertrochanteric fracture patients, male 12 cases,female 18 cases, age 74 to 98 years old,average age is 79.5 years old. According to AO classification: type A2.1 20 cases,type A2.2 4 cases, type A2.3 in 6 cases.Adopt road lateral incision into the hip joint, the femur intertrochanteric anatomical relationship between basic recovery, implantation of bone cement type long stem bipolar artificial femoral head,after 5 to 7 bed day.Results Followed up for 12 to 24 months, better fracture reduction, the patients life can provide for oneself basically, the excellent and good rate was 83.3%.Conclusion Artificial femoral head replacement for the treatment of femoral intertrochanteric fractures in the elderly, can shorten the time in bed, and early hip functional exercise,reduce complications, curative effect is reliable. |