Abstract：Objective To compare the effect of artificial joint replacement and internal fixation in the treatment of intertrochanteric fracture in the elderly.Methods A total of 72 elderly patients with femoral intertrochanteric fracture who were treated in our hospital from January to December in 2017 were selected as the research subjects,they were divided into observation group and control group by random number table method,with 36 cases in each group.The patients in the observation group were treated with artificial joint replacement,while the patients in the control group were treated with internal fixation.The incision length,intraoperative hemorrhage,operative time,postoperative time of descent,postoperative complications and the Harris score at 12 months after operation of the two groups were compared.Results The incision length and operation time of the patients in the observation group were longer than those in the control group,the intraoperative hemorrhage wasmore than that in the control group,and the operation time was shorter than that in the control group,the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).The pain,function score and Harris total score of the observation group 12 months after operation were higher than those of the control group,the differences were statistically significant(P＜0.05).There were no significant differences in deformity and activity scores between the two groups(P＞0.05).Conclusion The artificial joint replacement is effective in the treatment of intertrochanteric fractures in the elderly,and the postoperative recovery is rapid and the incidence of complications is low.It is worthy of popularizing and applying in clinical practice.
黄河； 宋雪. 人工关节置换术与内固定术治疗老年股骨转子间骨折的效果比较[J]. 中国当代医药, 2020, 27(9): 75-77.
HUANG He； SONG Xue. Effect comparison of artificial joint replacement and internal fixation in the treatment of intertrochanteric fracture in the elderly. 中国当代医药, 2020, 27(9): 75-77.
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