Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis

【Abstract】Objective: To discuss the curative effect of the dynamic hip system blade (DHS-blade) on the treatment of femoral neck fractures in elderly patients with osteoporosis. Methods: A retrospective study was conducted to analyse the clinical data of 60 elderly patients with osteoporosis who h...

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Main Author: Liu Lei
Format: Article
Language:English
Published: Elsevier 2014-10-01
Series:Chinese Journal of Traumatology
Online Access:http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/571
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author Liu Lei
author_facet Liu Lei
author_sort Liu Lei
collection DOAJ
description 【Abstract】Objective: To discuss the curative effect of the dynamic hip system blade (DHS-blade) on the treatment of femoral neck fractures in elderly patients with osteoporosis. Methods: A retrospective study was conducted to analyse the clinical data of 60 elderly patients with osteoporosis who had been treated for femoral neck fractures with DHS-blade in our department between September 2012 and February 2014. There were 22 males and 38 females with a mean age of (66.8±3.2) years. According to the Singh Index Classification, all the patients’ Singh index was below level 3. The Harris criterion and function recovery after peration were analysed. Results: All patients were followed up for 12-17 months (mean 14 months). No femoral head necrosis, femoral neck shortening, internal fixation loosening or backing out of the nails occurred. Bone nonunion was found in one case and he had a good recovery after total hip arthroplasty. The time for fracture healing ranged from 3-6 months (average 3.5 months). According to Harris criterion, 35 cases were rated as excellent, 22 good, 2 fair and 1 poor. The Harris scale was signifi cantly improved from 28.46±2.35 preoperatively to 91.98±3.26 at 6 months postoperatively (P<0.05). Conclusion: DHS-blade, being minimally nvasive, allowing earlier postoperative exercise and avoiding the complications elicited by traditional internal fixation, is advisable for treatment of femoral neck fractured patients with osteoporosis. Key words: Fracture fi xation; Aged; Osteoporosis; Femoral neck fractures
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spelling doaj.art-e2c68894ffb14c17af862989317382122022-12-22T01:16:14ZengElsevierChinese Journal of Traumatology1008-12752014-10-01175341Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosisLiu Lei【Abstract】Objective: To discuss the curative effect of the dynamic hip system blade (DHS-blade) on the treatment of femoral neck fractures in elderly patients with osteoporosis. Methods: A retrospective study was conducted to analyse the clinical data of 60 elderly patients with osteoporosis who had been treated for femoral neck fractures with DHS-blade in our department between September 2012 and February 2014. There were 22 males and 38 females with a mean age of (66.8±3.2) years. According to the Singh Index Classification, all the patients’ Singh index was below level 3. The Harris criterion and function recovery after peration were analysed. Results: All patients were followed up for 12-17 months (mean 14 months). No femoral head necrosis, femoral neck shortening, internal fixation loosening or backing out of the nails occurred. Bone nonunion was found in one case and he had a good recovery after total hip arthroplasty. The time for fracture healing ranged from 3-6 months (average 3.5 months). According to Harris criterion, 35 cases were rated as excellent, 22 good, 2 fair and 1 poor. The Harris scale was signifi cantly improved from 28.46±2.35 preoperatively to 91.98±3.26 at 6 months postoperatively (P<0.05). Conclusion: DHS-blade, being minimally nvasive, allowing earlier postoperative exercise and avoiding the complications elicited by traditional internal fixation, is advisable for treatment of femoral neck fractured patients with osteoporosis. Key words: Fracture fi xation; Aged; Osteoporosis; Femoral neck fractureshttp://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/571
spellingShingle Liu Lei
Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
Chinese Journal of Traumatology
title Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
title_full Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
title_fullStr Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
title_full_unstemmed Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
title_short Effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
title_sort effect of dynamic hip system blade on the treatment of femoral neck fractures in elderly patients with osteoporosis
url http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/571
work_keys_str_mv AT liulei effectofdynamichipsystembladeonthetreatmentoffemoralneckfracturesinelderlypatientswithosteoporosis