关键词: 高龄, 股骨粗隆间不稳定骨折, 人工股骨头置换, 手术体会

Abstract: 【Abstract】〓Objective〓To discuss surgical techniques of unstable intertrochanteric fracture in the advanced age with hip hemiarthroplasty. Methods〓Sixty-four cases of hemiarthroplasty in aged (more than 75 years old) unstable intertrochanteric fractures were retrospectively analyzed. The operative time, the time beginning to walk after operation, postoperative pain, postoperative functional recovery and the complications were analyzed. Results〓The average time of operation was 75 minutes,mean intraoperative blood loss was 360 ml,the average time beginning to walk after operation was 6 days. The patients were followed up for six months to 4 years. According to the Harris hip scoring system (pain 44 points, function 47 points, deformity 4 points, joint activity 5 points) assessment, excellent rate was 84.5%. No postoperative infection, loosening of fixation and prosthesis sinking phenomenon were found in all cases. Conclusion〓Hemiarthroplasty is an effective way of intertrochanteric fracture in the advanced age and helps patients resume earlier.

Key words: Advanced age, Unstable intertrochanteric fracture, Hemiarthroplasty, Surgical experience