INTERNAL-FIXATION OR ARTHROPLASTY FOR DISPLACED SUBCAPITAL FRACTURES IN THE ELDERLY

被引：25

作者：

PARKER, MJ

机构：

[1] Birmingham Accident Hospital, Birmingham

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1992年 / 23卷 / 08期

关键词：

D O I：

10.1016/0020-1383(92)90150-Q

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A series of 200 patients aged over 69 years admitted to this hospital with a non-pathological displaced subcapital fracture of the femur, have been studied prospectively. Approximately one-half were treated by internal fixation and the remainder by a hemiarthroplasty, the method of treatment being dictated by the preference of the on-call consultant. This has enabled a comparison between the two groups. At 1 year from injury there was no significant difference in the mortality or function of the survivors. Internal fixation resulted in fewer postoperative complications, a shorter hospital stay and a reduced cost of treatment. The reoperation rate for internal fixation was three times that after hemiarthroplasty. Despite the problem of non-union, this study suggests that internal fixation is the treatment of choice for displaced subcapital fractures in the elderly.

引用

页码：521 / 524

页数：4

共 18 条

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