Advance Search
GAO Yanwei, GUO Peng, ZHANG Wensheng, PANG Jun, WANG Tao. Effect of artificial hip joint replacement and internalfixation on postoperative functional rehabilitation in senile patients with hip fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 113-115, 118. DOI: 10.7619/jcmp.201911032
Citation: GAO Yanwei, GUO Peng, ZHANG Wensheng, PANG Jun, WANG Tao. Effect of artificial hip joint replacement and internalfixation on postoperative functional rehabilitation in senile patients with hip fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 113-115, 118. DOI: 10.7619/jcmp.201911032
shu

Effect of artificial hip joint replacement and internalfixation on postoperative functional rehabilitation in senile patients with hip fracture

  • Department of Orthopedics, Yan′an People′s Hospital in Shaanxi, Yan′an, Shaanxi, 716000

More Information
  • Received Date: March 09, 2019
  • Accepted Date: April 14, 2019
  • Available Online: February 22, 2021
  • Published Date: June 14, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To observe the effect of artificial hip joint replacement and internal fixation on postoperative functional rehabilitation in senile patients with hip fracture.
      Methods  A total of 80 senile patients with hip fracture in the hospital were divided into two groups by randomized double blind method, with 40 cases in each group. Control group underwent internal fixation, and observation group was treated with artificial hip joint replacement. The surgical indexes, postoperative time to first weight bearing, recovery of hip joint function, complications in two groups were observed.
      Results  The intraoperative bleeding volume of control group was lower, and the postoperative time to first weight bearing was later than that in observation group (P < 0.05); there were no statistical differences in the operation time and postoperative drainage volume between two groups (P>0.05). After 3, 6 months of surgery, the Harris scores of observation group was higher (P < 0.05), and the incidence of complications was lower than that in control group (P < 0.05).
      Conclusion  Compared with internal fixation, artificial hip joint replacement can promote postoperative recovery of hip joint for senile patients with hip fracture, shorten postoperative time to first weight bearing, and decrease the incidence of postoperative complications.
    • FullText(HTML)
    • References (15)
  • [1]
    郑佐慧, 谭志伟, 冯经旺, 等. 内固定与人工髋关节置换术治疗老年髋部骨折的疗效及经济性比较[J]. 山西医药杂志, 2017, 46(15): 1841-1843. doi: 10.3969/j.issn.0253-9926.2017.15.025
    [2]
    徐丽丽, 谭美云, 张忠杰, 等. 髋关节置换术治疗老年髋部骨折内固定失败的中期疗效观察[J]. 实用骨科杂志, 2018, 24(10): 940-943. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ201810022.htm
    [3]
    何锡志, 邹华章, 伍伟挺. 不同入路行人工髋关节置换术治疗老年髋部骨折疗效比较[J]. 中国现代手术学杂志, 2015, 19(6): 443-447. https://www.cnki.com.cn/Article/CJFDTOTAL-XDSS201506013.htm
    [4]
    王全彬, 王东振, 石永进, 等. 加长型PFNA和DHS内固定治疗老年髋部骨折的疗效比较[J]. 创伤外科杂志, 2016, 18(12): 751-752. https://www.cnki.com.cn/Article/CJFDTOTAL-CXWK201612016.htm
    [5]
    刘云霞, 王晋平, 成娜莎. 老年髋部骨折患者人工关节置换术后术后认知功能障碍的风险预测分析[J]. 中国药物与临床, 2018, 18(7): 1210-1211. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201807065.htm
    [6]
    冯晓利. 老年髋部骨折患者康复护理方案的制定及应用[J]. 实用临床医药杂志, 2017, 21(12): 191-192, 195. doi: 10.7619/jcmp.201712064
    [7]
    邸晶磊, 付敏, 陈涛, 等. 髋部骨折伴糖尿病老年患者围手术期治疗分析[J]. 贵州医药, 2018, 42(1): 79-80. doi: 10.3969/j.issn.1000-744X.2018.01.034
    [8]
    徐丽丽, 谭美云, 张忠杰, 等. 髋关节置换术治疗老年髋部骨折内固定失败的中期疗效观察[J]. 实用骨科杂志, 2018, 24(10): 940-943. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ201810022.htm
    [9]
    丁涛, 张保焜, 田少奇, 等. 老年髋部骨折手术方法的选择原则及应用现状[J]. 中国修复重建外科杂志, 2018, 32(11): 1435-1440. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXCW201811014.htm
    [10]
    刘曙光, 张育民, 姚建锋, 等. 髋部骨折内固定术后全髋关节置换术的疗效分析[J]. 中国骨与关节损伤杂志, 2015, 30(12): 1236-1239. doi: 10.7531/j.issn.1672-9935.2015.12.002
    [11]
    赵海滨. 老年髋部骨折内固定与人工髋关节置换术的临床疗效比较分析[J]. 中国伤残医学, 2019, 27(4): 27-28. https://www.cnki.com.cn/Article/CJFDTOTAL-CXWK201602014.htm
    [12]
    戴军, 赵鉴非, 佟刚. 老年髋部骨折内固定与人工髋关节置换术的临床疗效比较[J]. 创伤外科杂志, 2016, 18(2): 105-108. https://www.cnki.com.cn/Article/CJFDTOTAL-CXWK201602014.htm
    [13]
    王长青. 内固定术与人工髋关节置换术治疗老年髋部骨折患者的临床疗效比较[J]. 医疗装备, 2018, 31(14): 87-88. doi: 10.3969/j.issn.1002-2376.2018.14.062
    [14]
    李明东, 王丹, 高星, 等. 手术方式和手术时间对老年髋部骨折术后深静脉血栓发生率的影响[J]. 中国骨与关节杂志, 2017, 6(5): 375-378. doi: 10.3969/j.issn.2095-252X.2017.05.011
    [15]
    苏昶. 内固定手术与人工髋关节置换术治疗老年髋部骨折的临床效果研究[J]. 中国伤残医学, 2019, 27(2): 25-27. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZX201702066.htm
    • Related Articles

  • Related Articles

    [1]WU Tingjiang. Effect of Sanders type Ⅱ to Ⅲ calcaneal fracture treated by internal fixation of steel plate through Chinese character "八" shaped incision of tarsal sinus approach[J]. Journal of Clinical Medicine in Practice, 2020, 24(13): 47-50. DOI: 10.7619/jcmp.202013014
    [2]SI Zhengtao, YANG Yongqiang. Internal fixation with proximal femoral nail antirotation versus internal fixation with dynamic hip screw in treatment of patients with intertrochanteric fracture of femur[J]. Journal of Clinical Medicine in Practice, 2020, 24(3): 105-107. DOI: 10.7619/jcmp.202003030
    [3]HU Jie. Study on functional recovery and rehabilitation nursing in patients with breast cancer after radical operation[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 111-113, 117. DOI: 10.7619/jcmp.201924035
    [4]HU Bailu, ZHANG Min, LIU Hui, RAN Xuejun. Nursing care of total hip replacement[J]. Journal of Clinical Medicine in Practice, 2017, (10): 87-90. DOI: 10.7619/jcmp.201710027
    [5]WANG Jing. Clinical effect of rehabilitation training nursing on functional recovery for radius and ulna fractures patients[J]. Journal of Clinical Medicine in Practice, 2016, (12): 92-94,104. DOI: 10.7619/jcmp.201612029
    [6]ZHANG Fang, YU Lijun, ZHAO Rui, LI Na, LIU Ting. Application effect of PDCA in reducing complication incidence of colorectal cancer patients with colostomy[J]. Journal of Clinical Medicine in Practice, 2016, (12): 82-84. DOI: 10.7619/jcmp.201612026
    [7]SHANG Bo. Relationship between postoperative complications of soft tissue and different operation time of incision reduction combined with internal fixation operation in patients with calcaneus fracture[J]. Journal of Clinical Medicine in Practice, 2014, (19): 66-69. DOI: 10.7619/jcmp.201419020
    [8]WU Xiaoli, WANG Fang, JI Jianhong. Influence of gastric lavage monitoring system for detecting liquid input-output balance on complications of gastric lavage[J]. Journal of Clinical Medicine in Practice, 2013, (20): 85-87. DOI: 10.7619/jcmp.201320029
    [9]ZHUANG Zhaorong, YIN Daju. Nursing for gastric cancer patients with early postoperative complications[J]. Journal of Clinical Medicine in Practice, 2013, (12): 14-16,19. DOI: 10.7619/jcmp.201312006
    [10]CHEN Yunlan, QIU Meiling. Nursing for postoperative complications in patients with hysterectomy[J]. Journal of Clinical Medicine in Practice, 2013, (10): 95-97. DOI: 10.7619/jcmp.201310035

  • Cited by

    Periodical cited type(4)

    1. 朱启明，段映姣. 替米沙坦联合达格列净治疗糖尿病肾病的应用效果研究. 黑龙江医药. 2025(01): 122-125 .
    2. 杨雅燕，戴艺绒，章亚青. 糖尿病合并腰椎压缩性骨折患者术后血糖控制中达格列净的应用价值. 糖尿病新世界. 2024(09): 91-93+97 .
    3. 陈小莹，陈宜德，卓徐鹏，林慧，江凌翔. 度拉糖肽联合达格列净对非酒精性脂肪肝合并2型糖尿病患者的胰岛素抵抗和肝功能的影响. 中国药物与临床. 2024(16): 1073-1077 .
    4. 彭梓瑶，刘丽萍，施素华. 司美格鲁肽对2型糖尿病合并肾功能不全患者血糖水平的影响. 糖尿病新世界. 2024(12): 108-111 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (237) PDF downloads (1) Cited by(4)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return