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.

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Figures/Tables 2

References 9

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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

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