Comparison of different prostheses types in femoral neck fractures of elderly patients with osteoporosis

doi:10.3877/cma.j.issn.1674-134X.2024.02.017

Abstract

Abstract:

Objective

To compare the application effect of cementless femoral prosthesis and cemented femoral prosthesis in hip replacement for femoral neck fracture of elderly patients with osteoporosis (OP).

Methods

The clinical data of 91 elderly patients with femoral neck fracture with OP from Foshan Hospital of Traditional Chinese Medicine were retrospectively analyzed. They were all treated with hip replacement, and 42 cases were treated with non cemented femoral prosthesis (the non-cemented group) and 49 cases were treated with cemented femoral prosthesis (the cemented group). The operation related indexes, hip function of affected side and complications were compared between the two groups. Measurement data were analyzed using t tests, while count data were analyzed using chi square tests.

Results

The ambulance time and full weight-bearing in the cemented group was shorter than the non-cemented group (t=9.484, 3.646, both P <0.05). The hip function scores of the cemented group after operation were higher than those in the non-cemented group (t=7.626, 6.891, both P<0.05). The incidence of complications in the cemented group was lower than that in the non-cemented group (corrected χ²=4.623, P<0.05).

Conclusion

The use of bone cement femoral prosthesis for hip replacement is more advantageous than non bone cement femoral prosthesis for elderly patients with femoral neck fracture accompanied by OP.

Key words: Osteoporosis, Femoral neck fracture, Arthroplasty, replacement, hip

Guoliang Lu, Yaocheng Pan. Comparison of different prostheses types in femoral neck fractures of elderly patients with osteoporosis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(02): 277-279.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2024.02.017

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2024/V18/I02/277

Figures/Tables 2

References 9

[1]	张立海. 老年骨质疏松骨折的现状和挑战[J]. 中华老年多器官疾病杂志，2020, 19(7): 481－484.
[2]	黄永湘，李宝林，唐爱民，等. 老年股骨颈骨折患者使用骨水泥型和生物型假体行股骨头置换术的疗效对比[J]. 创伤外科杂志，2020, 22(2): 151－152.
[3]	Mercier Lonnie R.原著//戴闽，姚浩群主译. 实用骨科学精要[M]. 6版. 北京：人民军医出版社，2016: 178－182.
[4]	Jørgensen PB, Lamm M, Søballe K, et al. Equivalent hip stem fixation by Hi-Fatigue G and Palacos R＋G bone cement: a randomized radiostereometric controlled trial of 52 patients with 2 years′ follow-up[J]. Acta Orthop, 2019, 90(3): 237－242.
[5]	Scanelli JA, Reiser GR, Sloboda JF, et al. Cemented femoral component use in hip arthroplasty[J]. J Am Acad Orthop Surg, 2019, 27(4): 119－127.
[6]	思玉楼，刘娥，杨涛. 老年股骨颈骨折双侧同期非骨水泥型与骨水泥型人工全髋关节置换术临床疗效比较[J]. 医学临床研究，2018, 35(1): 52－55.
[7]	浦飞飞，张志才，邵增务，等. 骨水泥型与非骨水泥型假体置换治疗膝关节周围骨肉瘤的疗效评价[J]. 中国骨与关节杂志，2021, 10(2): 107－110.
[8]	Hines CB, Collins-Yoder A. Bone cement implantation syndrome: key concepts for perioperative nurses[J]. AORN J, 2019, 109(2): 202－216.
[9]	Pritchett J. Large diameter total hip replacement for acute displaced femoral neck fracture[J]. J Long Term Eff Med Implants, 2019, 29(1): 71－78.

组别Groups	例数Case number	手术持续时间(min)Duration of surgery	术中出血量(ml)Intra-operation blood loss	术后下地时间(d)Ambulance time	术后完全负重时间(d)Full weight-bearing time after operation
非骨水泥组Non-cemented group	42	60.1±9.9	222.6±35.4	3.2±1.0	29.3±4.6
骨水泥组Cemented group	49	63.2±10.0	231.8±41.1	1.6±0.6	26.8±1.2
t值		1.458	1.126	9.484	3.646
P值		>0.05	>0.05	<0.05	<0.001

组别Groups	例数Case number	手术持续时间(min)Duration of surgery	术中出血量(ml)Intra-operation blood loss	术后下地时间(d)Ambulance time	术后完全负重时间(d)Full weight-bearing time after operation
非骨水泥组Non-cemented group	42	60.1±9.9	222.6±35.4	3.2±1.0	29.3±4.6
骨水泥组Cemented group	49	63.2±10.0	231.8±41.1	1.6±0.6	26.8±1.2
t值		1.458	1.126	9.484	3.646
P值		>0.05	>0.05	<0.05	<0.001

组别Groups	例数Case number	术前Before operation	术后3个月Three months after operation	术后6个月Six months after operation	F值	P值
非骨水泥组Non-cemented group	42	31±5	68±8^a	81±9^ab	534.366	<0.001
骨水泥组Cemented group	49	31±5	75±8^a	87±9^ab	730.108	<0.001
t值		0.300	7.626	6.891
P值		>0.05	<0.001	<0.001

组别Groups	例数Case number	术前Before operation	术后3个月Three months after operation	术后6个月Six months after operation	F值	P值
非骨水泥组Non-cemented group	42	31±5	68±8^a	81±9^ab	534.366	<0.001
骨水泥组Cemented group	49	31±5	75±8^a	87±9^ab	730.108	<0.001
t值		0.300	7.626	6.891
P值		>0.05	<0.001	<0.001

[1]	Liang Ou, Qi Qi, Weiwei Hu, Min Lu, Yanchang Huang, Weichen Huang, Jianjun Kuang. Comparison of femoral neck system and other internal fixations in treatment of femoral neck fracture [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(01): 92-105.
[2]	The Joint Surgery Branch of the Chinese Orthopedic Association, Guangdong’s Medical Association of Osteoporosis And Bone Mineral Research, Foshan Shunde 3rd Peoele’s Hospital. Clinical intervention guideline for using of anti-osteoporosis drugs in postoperative fragile hip fractures in China (2023 Edition) [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 751-764.
[3]	Fanyu Meng, Xinshe Zhou, Zhi Zhao, Lijia Pei, Ben Liu. Direct anterior approach in lateral hip replacement for hemiplegic limb femoral neck fracture [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 865-870.
[4]	Luqiao Pu, Yongqing Xu, Baochuang Qi, Hongxin Shi, Wei Lin, Pengfei Bu, Yan Bai, Zhifang Tang, Chuan Li. Prospectus on clinical intervention guideline for anti-osteoporosis drugs in postoperative fragile hip fractures in China (2023 edition) [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 747-750.
[5]	Yan Wang, Jianxiong Ma, Shuang Lang, Benchao Dong, Aixian Tian, Yan Li, Lei Sun, Hongzhen Jin, Bin Lu, Ying Wang, Haohao Bai, Xinlong Ma. Research progress in application of exosomes in diagnosis and treatment of osteoporosis [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 673-678.
[6]	Yixian Lu, Zhentao Zhang, Demeng Xia, Jialin Wang. Research progress of the regulating role and mechanism of macrophage polarization in osteoporosis [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(06): 538-541.
[7]	Yueqi Chen, Rui Luo, Han Xiang, Yongyan Yu, Ting Yu. The causal association between osteoporosis and periodontitis: A two-sample Mendelian randomization study [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(04): 292-298.
[8]	Wuhao Xiao, Kanghan Liu. Research progress on the treatment of osteoporosis in patients with advanced chronic kidney disease [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2024, 13(02): 92-96.
[9]	Renguo Ran, Zheng Luo, Xin Liao, Fumin Zhang. Promoting effect of low-frequency pulsed electromagnetic field on postoperative rehabilitation of osteoporotic thoracolumbar fractures treated with internal fixation [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(01): 39-45.
[10]	Juan Wang, Jun Gao, Yilan Zhou, Xiaohong Li, Bingwei Shi, Meizhen Pan. Relationship between serum IL-2, IL-17 and bone mineral density and their predictive value for osteoporosis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(05): 295-300.
[11]	Yujie Jin, Xiao Yu, Xiaoqiang Zhou, Zhiqiang Li, Renjie Xu, Xiangxin Zhang, Guangxiang Chen. Correlation between the clinical efficacy and the position of internal fixation in the treatment of femoral neck fractures with femoral neck system [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(04): 193-200.
[12]	Xiaoliang Song, Haihu Hao, Yuan Liu, Haojiang Li, Xiaojing Lei, Xinzhong Shao, Qingyuan Li. Application of femoral reconstructing nail in the treatment of femoral neck fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(04): 201-208.
[13]	Xi Zhang, YeQing Liu, Xueying Kang, Bingbing Sun, Yan Liu, Liye Hu, Yaru Zhou. Correlation between serum ferritin and postmenopausal osteoporosis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(03): 166-171.
[14]	Wenjia Di, Aiyuan Niu. A study on the correlation between liver cirrhosis and osteoporosis based on the East Asian populations [J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2024, 11(01): 40-44.
[15]	Jihui Zhang, Liang Yu, Yongjie Gu, Senqi Ye, Zhipeng Hou, Liujun Zhao. Clinical study of individual rehabilitation on thoracolumbar osteoporotic fracture with low back soft tissue injury in thoracolumbar spine [J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2023, 10(03): 26-30.

Please choose a citation manager

Content to export