| Objective To analyze the patient data of artificial joint replacement for older osteoporosis with proximal femoral fractures in our hospital and Tongji Hospital to observe the effect. Methods Retrospective analysis was used to analyze and follow up of the 95 cases with osteoporotic proximal femoral fractures from Junuary 2015 to October 2017 of orthopedic treatment in Tongji Hospital and our hospital, from the time of operation, blood loss, the time of rehabilitation from post-operation, and the postoperative complications. The patients were also evaluated by Harris scores and VAS scores before and after operation and last follow-up. Results All patients were successfully completed operation, including 78 cases of femoral neck fracture, 17 patients with intertrochanteric fractures, followed by 8-34 months (average 13.4 months).All follow-up patients had no complications such as infection, peripheral fractures and deep venous thrombosis of the lower extremities. Operative time was (63.50±11.50) mins, blood loss was (85.00±4.50) mL, time of rehabilitation was (3.00±0.50) days; the short-term effect was evaluated by Harris Score and VAS Score. The Harris scores of the preoperative, postoperative and the last follow-up were: (30.60±4.15); (23～52) points (65.30±5.25) (58～79) points; (79.50±8.65) (75～92) points, The VAS scores of the preoperative, postoperative and the last follow-up were: (8.26±0.70) (7～10) points; (4.18±1.55) (3～6) points; (1.65±2.15) (0～3) points. There was a statistically significant difference between the preoperative and the last follow-up compared to the Harris score and VAS score (P＜0.05). Conclusion The artificial joint replacement for the older patients with osteoporotic hip fracture can lead to early recovery, pain relief and hip function are significantly improved, to facilitate the early return to the pre-injury lifestyle. |
